Chris Elliott Personal Training

Registration

Physical Activity Readiness Questionnaire

Please answer the following questions

Waiver

I have agreed to participate in Chris Elliott's Personal Training fitness program that is a physical based training program that is based outdoors at Grahamstown public school (Outdoors Physical Fit Bootcamp) and training out off SMD Health & Fitness private training studio (Chris Elliott's Personal Training) and other locations directed between the trainer and client that will involves running, rowing, Olympic lifting, strength training, boxing and other intense cardiovascular activities.

1) I understand that is is my responsibility to consult a physician prior to and regarding my participation in the exercise classes, Bootcamp classes, group training or personal training programs offered through Chris Elliott's Personal Training. I represent and warrant that I am physically fit and I have no medical condition, which would prevent my full participation in these exercise classes, Bootcamp classes, group training or personal training programs.

2) In consideration of being permitted to participate in the exercise classes, Bootcamp classes, group training or personal training programs, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which might incur as a result of participating in the program / classes offered by Chris Elliott's Personal Training.

3) In further consideration of being permitted to participate in the exercise class, Bootcamp classes, group training or personal training programs, I knowingly, voluntarily and expressly waive any claim I may have against Chris Elliott's Personal Training for injury or damages that I may sustain as a result of participating in these classes or fitness programs.

4) I, my heirs or legal representative forever release, waive, discharge and covenant not to sue Chris Elliott's Personal Training for any injury or death caused by their negligence or other acts.

5) Two weeks notice is required to cancel direct debit payments following cancellation of personal training/group training. Sessions cancelled within 6 hours of your session will be forfeited.

I have read the above release and waiver of liability and fully understand its voluntarily and agree to the terms and conditions stated above.

I acknowledge i need to arrive 5-10 minutes before the session time so I can warm up and make sure to cool down at the end of the session.

Survey