Fill out the electronic physical activity waiver form by using the WaiverElectronic system.
Physical Activity Readiness Questionnaire (PAR-Q) and
WAIVER OF LIABILITY
Physical Activity Readiness Questionnaire (PAR-Q)
This PAR-Q is designed to help you to help yourself. Many benefits are associated with regular exercise, and completion of the PAR-Q form is a sensible first step to take if you are planning to increase the amount of physical activity in your life. For most people, physical activity should not pose a problem or hazard.
The PAR-Q has been designed to identify the small number of people for whom physical activity might be inappropriate or for those who should seek medical advice concerning the type of activity most suitable for them. Common sense is your best guide for answering these questions. Kindly answer the YES or NO questions below:
| 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? | |
| 2. Do you feel pain in your chest when you do physical activity? | |
| 3. In the past month, have you had chest pain when you were not doing physical activity? | |
| 4. Do you lose your balance because of dizziness or do you ever lose consciousness? | |
| 5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in physical activity? | |
| 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? | |
| 7. Have you undergone any recent surgeries in the past 3 months? | |
| 8. Do you know of any other reason why you should not do physical activity? |
If you have answered YES to any of the above questions, then you are required to gain consent from your doctor before participating in the home-based exercise program. If you have answered NO to all the above questions and you have reasonable assurance of your suitability for a home-based exercise program. You are advised to postpone entry into the program if you feel unwell or have a temporary illness. You must inform your trainer of any changes to your health status, whilst engaged in your training program.
WAIVER OF LIABILITY
I AM VOLUNTARILY PARTICIPATING IN THE ONLINE CLASSES AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS.
I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN. NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY.
