EmailMeForm
BASIC TRAINING Registration
Beginner level group exercise program for older active adults. The instructor, JD Doyle, takes you through the exercises step by step, with modifications for those who need them. The workouts will become progressively more challenging based on the ability level of the group. No high impact exercise, and you'll never do the same workout twice. Classes run 50-55 min. and include stretching. Increases in strength, endurance, and energy are guaranteed!
Name
*
First
Last
Email Address
*
Best Phone (941-555-5555)
*
Age
Current Weight
Emergency Contact Name
Emergency Contact Phone
Which location do you plan to attend?
5:15pm Tues. & Thurs. @ Colonial Oaks Park, Sarasota
Are you OK with exercising outdoors on a shaded wooden deck (and sometimes indoors in rain or extreme heat)?
YES
NO, must be indoors
What date can you start the program?
Are there any dates (Tues. & Thurs.) you will not be able to attend in the next 4 weeks?
How did you find out about this program?
Do you currently exercise? Or do you consider yourself to be a total beginner. Please describe.
Please describe your exercise limitations. Include any past or current injuries, illnesses, or orthopedic problems. Include any movements, exercises, or activities that you are not able to, or have been advised not to perform.
Describe any medications you are taking.
Please state your fitness goals, and what you hope to get out of this program.
Please read, check if you agree, and add your digital signature below.
WAIVER of LIABILITY AGREEMENT
During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you assume responsibility for these risks and waive any possibility for personal damage.
You also agree that, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program. If you do have any medical issues that may be of concern, you further agree that a physician has cleared you to participate in a training and nutrition program.
A physician’s examination is recommended for (1) all participants with any exercise restrictions; and (2) all men over 44 years old and all women over 54 years old. Coaching participants in either or both of these categories who do NOT have prior physician examination MUST acknowledge they have been informed of its importance.
By checking YES, you accept full responsibility for your own health and wellbeing and hereby release in full and forever discharge, Sarasota Boot Camp, Inc., its fitness instructors, conditioning specialists, directors, officers, agents, and employees, whether acting within the scope of their employment or otherwise, on behalf of myself, my heirs, executors, assigns, administrators, and personal representatives from any and all claims, demands or causes of action relating to deriving from my activities related to my engaging and participating in my conditioning program which may result in my death or in an injury to my person or property of any sort whatsoever.
Do you agree to the conditions of the waiver of liability?
*
I Agree.
Digital Signature
*
Powered by
EMF
Online HTML Form
Report Abuse
