Goal/Purpose and Explanation of Service:
The exercise consultant’s goal is to develop a physical activity program in order to improve your overall health. Reaching the goal of optimum health, absent other non-physical activity complicating factors, requires a sincere commitment from you, possible lifestyle changes and a positive attitude. I understand that the purpose of the exercise program is to develop and maintain cardio respiratory fitness, body composition, flexibility, muscular strength and endurance.
A specific exercise plan will be given to me, based on my needs and abilities. All exercise prescription components will comply with proper exercise program protocols. The programs include, but are not limited to aerobic exercise, flexibility training, and strength training. All programs are designed to place a gradually increasing workload on the body in order to improve overall fitness.
The exercise consultant is not trained to provide medical diagnoses, and no comment or recommendation should be construed as being a medical diagnosis or medical opinion. Since every human being is unique, the exercise consultant cannot guarantee any specific result from a recommendation.
Expectations of the client are to be committed to making lifestyle changes by eating a healthy diet, following nutritional advice, no/very little alcohol consumption (no alcohol for minors), and no lack in effort. There is no excuse for laziness or complaining.
Expectations of the trainer are to be prepared with a workout for the client for their specific needs. The trainer will not let the client quit and will make sure the client succeeds in becoming a more healthy being, surpassing their goals for training. The trainer will provide varied nutritional information and varied workouts for each clients needs.
Risks:
I understand, and have been informed, that there exists the possibility of injury or bodily harm when engaging in a physical activity program. I have been informed that these changes could include abnormal blood pressure, fainting, disorders of heart rhythm, stroke and very rare instances of heart attack or even death. I have been told that every effort will be made to minimize these occurrences by proper screening and by precautions and observations taken during the exercise session. I understand that there is a risk of injury, heart attack, or even death as a result of my participation in an exercise program, but knowing those risks, it is my desire to partake in the recommended activities.
Benefits:
I understand that participation in an exercise program has many health related benefits. These may include improvements in body composition, range of motion, musculoskeletal strength and endurance, and cardiorespiratory efficiency. Furthermore, regular exercise can improve blood pressure and lipid profile, metabolic function, and decrease the risk of cardiovascular disease.
Physiological Experience:
I have been informed that during my participation in the exercise program, I will be asked to complete physical activities that may elicit physiological responses/symptoms that include, but are not limited to the following: elevated heart rate, elevated blood pressure, sweating, fatigue, increased respiration, muscle soreness, cramping, and nausea.
Inquiries and Freedom of Consent:
I have been given an opportunity to ask questions about the exercise program. I further understand that there are also other remote health risks. Despite the fact that a complete accounting of all these remote risks has not been provided to me, I still desire to proceed with the exercise program. I acknowledge that I have read this document in its entirety or that it has been read to me if I was unable to read. I consent to the rendition of all services and procedures as explained herein by all program personnel.
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Date
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Participant’s Signature
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Witness’s Signature
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Trainer’s Signature