I, _____________________ volunteer to participate in a cardiovascular conditioning and resistance program. It will be approximately a One-hour session, consisting of but not limited too:
Various speed drills, calisthenics, core work (abdominals, lower back and sides), light upper body strengthening, stretching and time splits. There are certain risks in any program of exercise and I declare myself physically sound and have medical approval to participate in this program. Under all circumstances I will take responsibility for my program and myself at any given time. I acknowledge that I do not have to participate in any part of the training session that I do not want to.
I agree that Andrew Provost and the staff of Focused On Fitness Personal Training are exempt from liability for any injury or disability that may be incurred during or as a result of his or their exercise instruction or this program.
I also understand that the charge is $20.00 per class. Payment must be made in cash or check prior to starting and cannot be refunded for any reason.
Anyone under the age of 18 must have parental approval with their signature below.
| _____________________ | ______________________________ | |
| Date | Client Signature & Birth Date | |
| _____________________ | ______________________________ | |
| Staff Signature | Parent's Signature (if under age 18) |