Please record any injuries/medical conditions that will affect my fitness/health pursuits...
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.