RELEASE AND INDEMNITY
Further, to the extent permitted by law, I, and on behalf of my heirs, executors and administrators, release and indemnify and will release and keep indemnified Feminine Power Fitness, the FPF below, all persons, corporations and bodies involved or otherwise engaged in promoting the FPF, the servants, agents, representatives, officers, coaches, members and visitors of the FPF from all claims and liabilities of any nature (including any costs, whether or not the subject of a court order) howsoever arising (including by reason of negligence) resulting in any loss of life, injury, damage or loss of any description whatsoever that I suffer, caused by, connected with or incidental to the entry into the FPF or participation in any activity carried on by the FPF.
By signing this waiver, I agree and understand the following:
Occupational Health & Safety:
Studio etiquette:
Membership conditions of use:
By signing this form, I hereby represent and warrant that I am physically fit and capable to participate at all sessions at Feminine Power Fitness. I agree and legally bind myself, with full understanding to the contents and meaning of the provisions above. I declare that I am fully capable of giving my consent.
{first_name}, please answer truthfully the questions below.
1. Has your medical practitioner ever told you that you have a heart condition or have you eversuffered a stroke?
2. Do you ever experience unexplained pains or discomfort in your chest at rest or during physicalactivity/exercise?
3. Do you ever feel faint, dizzy or lose balance during physical activity/exercise?
4. Have you had an asthma attack requiring immediate medical attention at any time over thelast 12 months?
5. If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose)in the last 3 months?
6. Do you have any other conditions that may require special consideration for you to exercise?
7. Family history of heart disease (e.g. stroke, heart attack)?
8. Have you been told that you have high blood pressure?
9. Have you been told that you have high cholesterol / blood lipids?
10. Have you been told that you have high blood sugar (glucose)?
11. Are you currently taking prescribed medication(s) for any condition(s)?
12. Have you spent time in hospital (including day admission) for any condition/illness/injury duringthe last 12 months?
13. Are you pregnant or have you given birth within the last 12 months?
14. Do you have any diagnosed muscle, bone, tendon, ligament or joint problems that you have been told could be made worse by participating in exercise?
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