Program Consent FormName *Program Objectives and ProceduresYesNoI understand that this physical fitness program includes exercises to build the cardio-respiratory system (heart and lunges), the musculoskeletal system (muscle endurance and strength, and flexibility), and to improve body composition (decrease body fat in individuals needing to lose fat, with an increase in weight of muscle and bone). Exercise may include aerobic activities (treadmill, running, bicycling, walking, rowing, group activity, swimming and other aerobic activities), resistance training to improve muscular strength and endurance and flexibility exercises to improve joint range of motion.Potential Risks *YesNoI understand that the reaction of the heart, lung, and blood vessel system to exercise cannot always be predicted with accuracy. I know there is a risk to certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. Use of the weightlifting equipment and engaging in vigorous cardiovascular training may possibly lead to musculoskeletal strains, pain and injury if adequate warm up, gradual progression, and safety procedures are not followed. I understand that the personal trainer shall not be liable for any damages arising from personal injuries sustained by myself, the client during the personal training program. I, the client using the exercising equipment during the fitness program does so at her/his own risk. I, the client assumes full responsibility for any injures or damages which may occur during the training. I hereby fully and forever release and discharge the personal trainer, its assigns and agents from all claims, demands, damages, rights of action, present and future therein. I understand and warrant, release and agree that I am in good physical condition and that I have no disabilities, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to my heart, my safety, or comfort, or physical condition if I engage and participate in this program (other than those items fully discussed on health history form). I state that I have had a recent physical checkup and have my permission to engage in aerobic and/or anaerobic conditioning. If you cancel your session 24 hours before the session is, the session will be voided. Please give me a week notice if you are out of town or won’t be attending. I understand life gets busy however I need to make sure I keep my business growing. Thank you for understanding!Potential Benefits *YesNoI understand that a program of regular exercise for the heart, lungs, muscles and joints, has many benefits associated with it. These may include a decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function, and a decrease in heart disease. I have read the following information and understand it. Any questions that may have occurred to me have been answered to my satisfaction.Date signed *SubmitCancellation PolicyName *Cancellation Policy:I agreeI disagreeWhen you schedule with Zahar Fitness; that time is reserved specifically for you. Majority of your sessions are on the exact time and day each week. Please give your trainer 24 hours notice for cancellations so that she can fill that spot with someone else, without enough notice that block cannot be filled resulting in having to charge the full amount... to you. Please sign this form to indicate you understand the late fee if you do not inform before 24 hours. (This form has been lenient lately, too many cancellations has happened without payment so this has to be put in place indefinitely) Thank you for your time.Date signed *Submit
