Waiver

All Fitness Junkies must submit a signed copy of this waiver, as well as the Par-Q Fitness Questionnaire before participating in any class. 

You can either submit the waiver online or download the pdf here and bring it with you.

 

WAIVER

I have agreed to participate in a fitness class offered by Fitness Junkies. The activities of this fitness class/event may include, but are not limited to, walking, running, strength training, agility drills, jumping, punching, kicking, intense cardiovascular activities and flexibility training. Acknowledgment is hereby made that the activities of the class will require me to spend time with a high heart rate. I further acknowledge that there are risks involved in participating in this fitness class. The risks include, but are not limited to those caused by terrain, facilities, temperature, weather, my physical condition, equipment, lack of hydration, actions of other people including, but not limited to, participants, volunteers, and instructors. In consideration of my being accepted into the program, I agree to release and discharge Kathy Johnston-Isenor, Fitness Junkies, Ashley Hood, the Town of Windsor, the Municipality of the District of West Hants, Pisiquid Canoe Club, West Hants Family Resource Centre, Kings County Family Resource Centre, Brooklyn Elementary School, Falmouth District School, Three Mile Plains School, West Hants Middle School, Hantsport School, Dr. Arthur Hines School and any other temporary location from any injuries sustained by me as a result of participating in this program. I agree to indemnify and hold harmless: Kathy Johnston-Isenor, Fitness Junkies, Ashley Hood, the Town of Windsor, the Municipality of the District of West Hants, Pisiquid Canoe Club, West Hants Family Resource Centre, Kings County Family Resource Centre, Brooklyn Elementary School, Falmouth District School, Three Mile Plains School, West Hants Middle School, Hantsport School, Dr. Arthur Hines School, and any other temporary location, and any volunteers against any liability incurred as a result of such injury or loss. Fitness activities and programs require that I be in good health and have no condition that could endanger my well being through participation. I will notify Kathy Johnston-Isenor or Ashley Hood, of any such defects in writing prior to enrolling in this program, and as soon as any defects occur throughout the duration of this fitness class. The undersigned agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of myself.

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Name *
Name
Your Phone *
Your Phone
Your Birthdate *
Your Birthdate
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone