Informed Consent Agreement
Description of xtremebuiltnotbought porgrams:
I understand that classes/challenges will involve participation in a variety of fitness
activities. These activities will vary depending upon the class/challenge, but will probably include:
1. Aerobic activities including, but not limited to, the use of treadmills, stationary spin bicycles, rope machines, running, agility drills, aqua boxing bags, circuit training,
and step exercises.
2. Muscular endurance and strength building exercises including, but not limited to, the use of free weights, kettlebells, medicine balls, exercise bands, cable machines, ropes and other exercise apparatus.
3. Other activities selected by my instructor and agreed upon by me.
4. Selected physical fitness and body composition tests.
Description of Potential Risks
Gym staffs have explained that no exercise program is without inherent risks and that, regardless of the care taken by my instructors, he (or she) cannot guarantee my personal safety. I realize that when participating in any exercises or conditioning activity, there is always a possibility that minor injuries, major injuries, or catastrophic injury/death may occur.
Description of Potential Benefits
I understand that a regular exercise program has been shown to have definite benefits to general health and wellbeing. I know that some of the physiological benefits of a regular exercise program can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement in cardiovascular function, reduction in risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility. I further understand that regular exercise can have psychological benefits, often improving one’s outlook as well as relieving tension and stress.
Participant’s Responsibilities
I understand that it is my responsibility to:
1. Take seriously and attend all scheduled classes. To the best of my ability I will
comply with all of the program components in an effort to assist in the achievement of my goals.
2. Inform the instructor if there are any activities with which I do not feel comfortable.
3. Cease exercise and report promptly any unusual feelings (e.g. chest discomfort,
nausea, difficulty breathing, apparent injury) during the exercise program.
Participant’s Acknowledgements
In agreeing to participation I, the client:
• Acknowledge that my participation is voluntary.
• Understand the potential risks involved in the exercise program and believe that the potential benefits outweigh those risks.
• Give consent to certain physical touching that may be necessary to ensure proper technique and body alignment.
• Understand that the achievement of health or fitness goals cannot be guaranteed.
• Have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction.
• Am in good physical condition, have no impairment that might prevent my
participation in such activities, and have been advised to consult a physician prior to beginning this program.
• Have been advised to cease exercise immediately if I experience unusual discomfort
and feel the need to stop.
• Understand that music streamed during workouts may contain explicit language.
By purchasing this program, I acknowledge and agree that I have read the foregoing and know of the nature of the activities and I agree to all the terms of this Agreement.