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I understand that the activities may be strenuous, and may require me to do body movements that I am not familiar with in order to improve overall fitness.
I understand that the exercise sessions will involve progressive stages of effort, and that at any time I may voluntarily terminate my participation for any reason.
I understand that it is my duty and responsibility to work at a level that is appropriate for me.
I understand that I am responsible for monitoring my own condition throughout my workouts. Should any unusual symptoms occur, I will stop my participation. Unusual symptoms may include, but are not limited to, chest discomfort, nausea, difficulty breathing, joint or muscle discomfort. In signing this consent form, I affirm that I have read, accept, and understand this form in its entirety and that I understand the nature of the exercise. I know that there may be innate risks associated with physical fitness and willingly accept those possibilities. I know that it is my responsibility to ensure my own safety. I take full responsibility for my own health and safety in participating in the sessions and to the extent deemed advisable, will consult a physician before participating in any of the activities.
I agree to assume all risks of such exercise, and hereby release and hold harmless the instructor Dr. Lisa Moore DPT, Brick House Bones, employees, participants, from any and all health claims, suits, losses, or causes of action for damages, for injury or death, including claims for negligence, arising out of or related to my participation in these sessions. Therefore, intending to be bound and as a condition of being allowed to participate in the program, have freely signed this waiver on the date indicated.
I acknowledge that my purchase does not in any way indicate a patient-physical therapist relationship with the instructor.