Step 2 (of 2) Please read, sign & submit the following waiver: Dean Clarke as with all certified Professionals is guided by the following principles of conduct as he interacts with clients/participants, the public, other health and fitness professionals, certified Professionals and will endeavour to: Provide safe and effective instruction Provide equal and fair treatment to all clients/participants Stay up-to-date on the latest health and fitness research and understand its practical application Comply with all applicable business, employment, and intellectual property laws Maintain the confidentiality of all client/participant information Refer clients/participants to more qualified health or medical professionals when appropriate Uphold and enhance public appreciation and trust for the health and fitness industry Establish and maintain clear professional boundaries To make hard work as much fun as possible. You can get in touch with me using the contact details shown on my contact page. I hereby request the opportunity to participate in a health and fitness evaluation and programme consisting of Physical exercise. I hereby acknowledge that my participation in this evaluation is entirely voluntary on my part. Such participation is solely for my own pleasure and benefit. It is possible that certain unhealthy changes may occur during the evaluation. They include abnormal blood pressure, fainting, disorder of heartbeat, and in rare instances, heart attack or stroke. Information you possess about your health status or previous experiences of unusual feelings with physical effort may affect the safety and value of your evaluation. Your prompt reporting of feelings when exerting effort during the evaluation are also of great importance. You are responsible to fully disclose such information when requested by the testing staff. Any questions about the procedures used in the evaluation are encouraged. If you have any doubts or Questions, please ask us for further explanations. Your permission to perform this evaluation is voluntary. You are free to deny consent or stop the Evaluation at any point, if you so desire. I have read this form and I understand the testing procedures that I will perform. I consent to participate in this evaluation and program.Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness or death. We are also not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.Signature*Print Name (in CAPITALS)*Date* DD slash MM slash YYYY
