Module 1: Common Diagnoses

Adaptive Fitness Exercise Programing Module 1: Common Diagnoses

Module 1: Read pages 6-10 in the Adaptive Exercise Programming Book. This module will discuss the physical, mental, and emotional strengths and weaknesses impacting the ability of a client who has special needs to complete workouts with a personal trainer. The most common diagnoses that will be discussed include Down syndrome, autism spectrum disorder, and non-ambulatory diagnoses like Cerebral Palsy, Spina Bifida, or a traumatic brain injury.

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This Training Program Service Agreement and Release of Liability (the “Agreement”) is between Anna Woods Fitness LLC, a licensee and you, the Buyer (individually, as the agent(s) or guardian(s) of the Client(s), or you the Client if you are of 18 years of age). It is agreed by and between Anna Woods Fitness, LLC and Buyer that Buyer is purchasing, for the benefit of the Client, Training Services, from Anna Woods Fitness LLC, according to the terms of this agreement.

Note of Auto-Renewal: I understand that unless I submit a notice of written cancellation within 10 days of the last scheduled E.F.T. payment this contract will automatically convert to a month to-month agreement, whereby I will continue to purchase sessions per month for a monthly payment as indicated above. I understand that, except as allowed by this contract or applicable state law, this agreement is non-cancelable during the initial term, but that, upon conversion to a month-to-month agreement, the agreement may be canceled at any time by submitting a 10-day written notice of cancellation to the address indicated in this contract. If a cancellation is requested prior to the end of the initial term a $300 cancellation fee will be charged to the Buyer.

Notice to Customer: You may cancel this agreement any time before midnight of the third business day after the date of this agreement.

Notice of Late Charge: Late Charge – If your payment is more than ten (10) days late, you will be charged a late charge of twenty dollars ($20.00) per payment. Prepayment – there is no prepayment charge applicable to this Agreement. All Paid in Full Memberships are NON-Refundable! NO Exceptions

SESSION SCHEDULING AND CANCELLATIONS: All appointment cancellations must be made twenty-four (24) hours prior to the scheduled appointment time to not be considered a “no show.” In the event the client “no shows” for their scheduled session, the client will be charged for that session. Sessions are filled on a first come first serve basis. Boot Camp Sessions are not allowed to be rescheduled during a different time. Arriving for appointments on time is required! Buyer will not be allowed to train if they are more than 15 minutes late for their scheduled time.

MONTHLY SESSION USAGE: All Fitness and Athletic Development program sessions, of any number of sessions purchased, must be completed by client within one (1) month of the payment date. If sessions extend beyond the above state prior, then the remaining sessions of the agreement are considered to have lapsed and will immediately discontinue. Failure to use the services does not relieve the Buyer or the Client of their obligations, (regardless of circumstances), to pay fees, late charges and other monies due under this Agreement in full. The completion date will be extended when a signed doctor’s note is received stating a medical reason, which prevents a personal training session program to be completed within the normal allotted time period.

CANCELLATION OF AGREEMENT: All agreements are binding for the full initial term of the contract and may only be canceled under doctor’s orders complete with a signed notice or relocation of the buyer more than 30 miles from the facility location. Members canceling an agreement for any other reason will be charged a $300 cancellation fee.

CHANGING MEMBERSHIP: The Buyer will be allowed to change their membership to a different level of service with the signing of a new membership agreement each time a change is made. Your first change of membership is free, any further changes will be assessed a $25 Change of Membership Fee.
I have filled out this information to the best of my knowledge and believe all written answers to be true. Please sign the form below after reading through the Waiver of Liability form.
I understand I have enrolled in a program of strenuous physical activity including but not limited to aerobic dance, weight training, stationary bicycling, and the use of various strength equipment. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this exercise program.

In consideration of my participation in Anna Woods Fitness LLC exercise program, I, for myself, my heirs and assigns, hereby release Anna Woods Fitness LLC (its employees and owners) from any claims, demands, and causes of action arising from my participation in the exercise program.
I fully understand that I may injure myself as a result of my participation in this exercise program, and I hereby release Anna Woods LLC from any liability now or in the future, including, but not limited to heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/ foot injuries and other illness, soreness, or injury, however caused, occurring during or after my participation in this exercise program.

Anna Woods Fitness LLC has recommended that I consult a physician before I engage in any physical exercise program. I acknowledge that I have done so or that I have chosen not to consult a physician but will begin the exercise program on my own accord.

I hereby affirm that I have read and fully understand the above.