07494 276049 166 Garstang Rd E, Poulton-le-Fylde FY6 7SY Mon - Sat 8.00 - 18.00, Sunday CLOSED
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Informed Consent

Informed consent

01

INFORMED CONSENT FOR PARTICIPATION IN A HEALTH AND FITNESS TRAINING PROGRAM

1. PURPOSE AND EXPLANATION OF PROCEDURE

I hereby consent to voluntarily engage in a physical exercise program and personal training sessions. I understand I will undergo a tailored personalised training program which is recommended to me for improvement of my physical and mental well-being and a healthy balanced diet. The levels of exercise I perform will be based upon my cardiovascular and muscular fitness. I understand that I may be required to undergo an intense fitness test prior to the start of my personal fitness training program in order to evaluate and assess my current levels of fitness.
I will be given detailed, personal instructions regarding the amount and type of exercise I should do. A fitness professional will provide leadership to direct my activities, monitor my performance, and otherwise evaluate my effort. Depending upon my health status, I understand that I am expected to attend every session and to follow the personal trainer’s instructions. If I am taking prescribed medications, I must inform the personal trainer and further agree to immediately notify them of any changes which my doctor or I have made with regard to use of these. I will be given the opportunity for periodic assessment and evaluation at regular intervals after the start of the program.

I have been informed that during my participation in the above described personal fitness training program, I will be asked to complete the physical activities unless symptoms such as fatigue, shortness of breath, chest discomfort or similar occurrences appear.

At this point, I have been advised that it is my complete right to decrease or stop exercise and that it is my obligation to inform the personal trainer of my symptoms, should any develop.

I understand that during the performance of exercise, a fitness trainer will regularly monitor my performance and, or assess my feelings of effort for the purposes of monitoring my progress. I also understand that the personal trainer may reduce or stop my exercise program if any of these findings indicate that this should be done for my safety and benefit.

2. RISKS
It is my understanding and I have been informed that there is a possibility during intense exercise, there may be adverse physiological changes such as increased heart rate and blood pressure, increased body temperature and slight dizziness. I further understand and I have been informed that there exists the risk of injury including muscles, ligaments, tendons, and joints of the body. It is my understanding that the personal trainer is there to minimize these risks by strict observations and assessments of my technique and physical condition before each training session. I fully understand the risks associated with exercise however I still wish to participate in the exercise programme.

3. BENEFITS TO EXERCISE
I understand that this program will benefit my physical fitness and general health. I recognize that involvement in the personal fitness training sessions will allow me to learn proper ways to perform conditioning exercises, use fitness equipment and regulate physical effort. I further understand that if I closely follow the programme instructions, I am likely improve my exercise capability and fitness levels after a period of approximately 6-8 weeks.

4. PT/GYM RULES
• Please sanitise your hands before entering the building.
• Wipe down each piece of equipment after usage.
• If running late to a session please inform the trainer.
• Ensure you bring an appropriate drink to your training session.
• Mobile phones are not permitted during personal training sessions unless absolutely necessary.
• 24 hour cancellation policy (if you cancel within 24 hours of a session, you are still required to pay. If on a block booking, the session will be taken off your block).
• Sessions/programmes are non-refundable.

5. CONFIDENTIALITY AND USE OF INFORMATION
I have been informed that the information which is obtained in this personal fitness training program will be treated as privileged and confidential. Under no circumstances will any personal information be disclosed to any other party.

I have read this Informed Consent form, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily, without inducement.

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