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GET UP FITNESS- Please read each question carefully(Required)
Do you feel pain in your chest when you do physical activity?(Required)
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?(Required)
Do you have a bone or joint problem (for example: back, knee or hip) that could be made worse by a change in your physical activity.
Is your doctor currently prescribing drugs ( for example: water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?
Membership Agreement & Release(Required)
CERTIFICATION OF HEALTH AND VOLUNTARY CESSATION OF ACTIVITY: I have completed and signed the PAR-Q (Physical Activity Readiness Questionnaire) and that I am in good health and that I have sought clearance from a physician to enter Get Up Fitness training sessions (the "Activity"). I represent that I fully understand the physical exertion demanded by the very nature of the Activity and that I am in proper physical condition to participate in such Activity. If any part of the Activity is in my opinion unsafe to me and/or I feel that I may be putting myself at risk of any harm, at any time, I shall immediately discontinue participation in the Activity. ASSUMPTION OF RISK: I fully understand that the Activity involves risks of serious bodily injury, including permanent disability, paralysis, or even death, which may be caused by my own actions or inactions, or by the actions or inactions of other Applicants, or by the conditions in which the event takes place, or the negligence of any of the Releasees (as defined below), and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity. RELEASE AND WAIVER: I hereby release, acquit and forever discharge Get Up Fitness, Wayne Thompson, its instructors, agents, volunteers, employees, other Applicants, and any sponsors, advertisers, and the owner and lessors of premises on which the Activity takes place, (each considered one of the "Releasees" herein), from all actions, causes action, claims, debts, dues and demands which I may have had, now have, or may hereafter have, whatsoever at law or in equity arising from my involvement or participation in any Activity, whether such claim arises from claim which may flow from any intervention or participation of any of the Releasees who may attend to my care or otherwise, and I further waive any rights that I may have to any such claim. I also release the Releasees for any loss of theft or of my personal possessions or belongings howsoever caused. INDEMNIFICATION: I further agree that if, despite the signed document, I, or anyone on my behalf, initiates a claim or demand against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which any may incur as the result of such claim. SUCCESSORS AND ASSIGNS: This agreement shall be binding upon and ensure to the benefit of the parties hereto and their respective heirs, executors, administrators, personal representatives, successors and permitted assigns. UNDERSTANDING: I have read this document and understand that I have given up substantial rights by signing it and have signed freely and without inducement or assurance of any nature and intent it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.
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