Liability Waiver

Par Q form:

 

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change you physical activity patterns. If you are over 69 years of age and are not used to being very active, check with your doctor.
Please read each question carefully and answer honestly.

 

- Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?

 

- Do you feel pain in your chest when you do physical activity?

 

- Do you lose balance because of dizziness or do you ever lose consciousness?

 

- Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?

 

- Is your doctor currently prescribing medication for your blood pressure or heart condition?

 

- Do you know of any other reason why you should not take part in physical activity?

 

If you answered YES to one or more questions:
You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

If you answered NO to ALL of the questions:
It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels

 

 

TERMS & CONDITIONS:

By agreeing to this I wish to participate in the exercise and training program offered by North London Strength & Conditioning part of CrossFit North London Ltd.

 

I understand there are inherent risks in participating in a program of strenuous exercise. Consequently, I have been examined by a physician of my choice and have obtained his/her approval for my participation in a fitness program within sixty (60) days of the date of creating this profile.

 

No change has occurred in my physical condition since the date such approval was given which might affect my ability to participate in the fitness program. If a physician has not examined me, I agree to see a physician within sixty (60) days of the date this profile was created to obtain his/her approval for my participation in a fitness program.

 

I agree that North London Strength & Conditioning part of CrossFit North London Ltd. shall not be liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at home, at the training studio, outdoors, or at a corporate, commercial, residential or other fitness facility) or during any of the other services we offer i.e Injury Clinic and I expressly release and discharge North London Strength & Conditioning part of CrossFit North London Ltd. and its owners, employees, agents and/or assigns, from all claims, actions, judgements and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program, excepting only an injury caused by the gross negligence or intentional act of such person or persons.

 

This Release shall be binding upon my heirs, executors, administrators and assigns.

 

I understand that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training sessions.

 

I understand that should I feel light-headed, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my Trainer.


I understand the results of any fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions.

 


I understand that during a training session, my trainer may have to use Touch Training to correct alignment and/or to focus my concentration on a particular muscle area to be targeted. If I feel uncomfortable or experience any type of discomfort with Touch Training, I will immediately request that my trainer discontinue using this technique.

 

I understand that the usage of any nutritional supplements is done under my own will.

 

I understand that North London Strength & Conditioning part of CrossFit North London Ltd may photograph and/or film their client events/sessions and I agree to allow them to use these pictures, films, and/or likenesses of me for promotional purposes.

 

In the event I choose not to allow the use of the same for said purpose, I agree that I must inform North London Strength & Conditioning part of CrossFit North London Ltd. of this in writing (this is not applicable for CrossFit Kids and CrossFit Teens without prior consent by the Parent or Legal Guardian).

 

If you are a Parent or the legal Guardian of a child taking part in the CrossFit Kids and/or CrossFit Teens training session at CrossFit North London, you will be agreeing to the information in this liability waiver on behalf of the child taking part.

 

I have read the statements of this legal document, understood the statements of this legal document and agree with its terms and conditions.

 

I understand that this document is complete unto itself and that any oral promises or representations made to me concerning this document and/or its terms and conditions are not binding upon North London Strength & Conditioning part of CrossFit North London Ltd. its officers, agents and/or employees.

 

I have voluntarily agreed to it and execute it voluntarily with full knowledge of its meaning, its significance and Implications.