Track Workout

MEDICAL HISTORY (PLEASE CHECK ALL THAT APPLY TO YOU) *

Have you ever been hospitalized for heart issues Have you ever been hospitalized for broken bones Have you ever been hospitalized for back issues Have you ever had arthritis or joint pain Have you ever had hepatitis Do you have asthma Do you have food Allergies Have you ever had a head injury None

LIABILITY WAIVER I UNDERSTAND THAT LIVVY CHOO FITNESS INCLUDES EXPLOSIVE PHYSICAL MOVEMENTS AS WELL AS AN OPPORTUNITY FOR RELAXATION, STRESS RE¬EDUCATION AND RELIEF OF MUSCULAR TENSION. AS IS THE CASE WITH ANY PHYSICAL ACTIVITY, THE RISK OF INJURY, EVEN SERIOUS OR DISABLING, IS ALWAYS PRESENT AND CANNOT BE ENTIRELY ELIMINATED. IF I EXPERIENCE ANY PAIN OR DISCOMFORT, I WILL LISTEN TO MY BODY, DISCONTINUE THE ACTIVITY, AND ASK FOR SUPPORT FROM THE INSTRUCTOR. I WILL CONTINUE TO BREATHE SMOOTHLY AND MODIFY THE EXERCISES. I ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, WHICH MAY INCUR THROUGH PARTICIPATION. THE FITNESS WORKOUT IS NOT A SUBSTITUTE FOR MEDICAL ATTENTION, EXAMINATION, DIAGNOSIS OR TREATMENT. LIVVY CHOO FITNESS WORKOUT IS NOT RECOMMENDED AND IS NOT SAFE UNDER CERTAIN MEDICAL CONDITIONS. BY AGREEING, I AFFIRM THAT I AM IN GOOD HEALTH AND PHYSICAL CONDITION TO PARTICIPATE IN SUCH A FITNESS PROGRAM. IN ADDITION, I WILL MAKE THE INSTRUCTOR AWARE OF ANY MEDICAL CONDITIONS OR PHYSICAL LIMITATIONS BEFORE CLASS. IF I AM PREGNANT, BECOME PREGNANT OR I AM POST¬NATAL OR POST¬SURGICAL, MY AGREEMENT VERIFIES THAT I HAVE MY PHYSICIAN'S APPROVAL TO PARTICIPATE. I ALSO AFFIRM THAT I ALONE AM RESPONSIBLE TO DECIDE WHETHER TO PRACTICE LIVVY CHOO FITNESS WORKOUT AND PARTICIPATION IS AT MY OWN RISK. I HEREBY AGREE TO IRREVOCABLY RELEASE AND WAIVE ANY CLAIMS THAT I HAVE NOW OR MAY HAVE HEREAFTER AGAINST LIVVY CHOO FITNESS AND IT'S INSTRUCTORS *

I have read and fully understand and agree to the above terms of this Liability Waiver Agreement.

Meet Me On The Track at Bowie, High School