Before your success session

Informed Consent

CONSENT TO FITNESS TESTING AND/OR EXERCISE PARTICIPATION:

Testing/Exercise Objectives: I understand that the tests and/or exercises that are about to be administered to me are for the purpose of determining and/or developing my physical fitness status, including flexibility, muscular strength, muscular endurance, muscular power and agility.

Explanation of Procedures: I understand that the tests and/or exercises, which I will undergo, may be performed indoors or outdoors. The tests and/or exercises are designed to, and will, increase the demands on the heart, lungs, vascular, muscular, and skeletal systems. Various static and dynamic exercise modalities may be employed to test or stimulate the multiple systems of the body. These include, but are not limited to: running, walking, plyometrics, free weights, resistive training machines, rubber bands, medicine ball training, etc.

Description of Potential Risks: I understand that there exists the possibility that certain abnormal changes may occur during the testing and/or my exercise participation. These changes could include abnormal heartbeats, abnormal blood pressure response, various muscle and joint injuries, and in rare instances heart attack and death. Professional care throughout the entire testing and/or exercising session should provide appropriate precautions against such abnormal responses. However, these risks are still present and I have assumed the potential reward to be greater than that of potential risk.

Benefits to be Expected: I understand that the results of any test administered to me will aid in: determining my current physical fitness/performance status, determining potential health hazards, and designing an appropriate exercise program. The exercises, which I will engage in, are designed to enhance the fitness parameters measured by the exercise tests, namely flexibility, muscular strength, muscular endurance, muscular power, and multidirectional speed and quickness.

I have read the foregoing information and understand it. Questions concerning all procedures have been answered to my satisfaction. I also understand that I am free to deny answering any questions during the tests/exercise sessions. I have also been informed that the information derived from these tests are confidential and will not be disclosed to anyone other than my physician or others who are involved in my care or exercise prescription without my permission.

*By typing your name, you consent to the above terms
*By typing your name, you consent to the above terms
Date
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