Marijana Fit
Waiver and Health Questionnaire
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1 Your details

Please add your full name and phone number.

2 Health questionnaire (PAR-Q+)

Please answer honestly. This keeps your training safe and appropriate for you.

1. Has a doctor ever said you have a heart condition and should only do physical activity recommended by a doctor?

2. Do you feel pain in your chest when you perform physical activity?

3. In the past month, have you had chest pain when not performing physical activity?

4. Do you lose your balance because of dizziness, or ever lose consciousness?

5. Do you have a bone or joint problem that could be made worse by a change in physical activity?

6. Is a doctor currently prescribing medication for your blood pressure or a heart condition?

7. Is there any other reason you should not engage in physical activity without medical clearance?

Please answer every question above.

3 Liability waiver

1. Voluntary participation

I am voluntarily participating in personal training sessions and related physical activity ("Training") provided by Marijana Fit ("Trainer"), at a location agreed between myself and the Trainer.

2. Assumption of risk

I understand exercise carries inherent risks, including strains, sprains, joint injury, cardiovascular events, and in rare cases serious injury or death. I voluntarily assume these risks.

3. Release of liability

I release and hold harmless Marijana Fit, its trainer(s), and any facility where Training takes place from claims arising from Training, except where caused by gross negligence or wilful misconduct.

4. Medical acknowledgment

I confirm I am fit to participate, except as disclosed in my PAR-Q answers. I understand the Trainer is not a medical professional and Training is not a substitute for medical advice.

5. Facility use

Where Training takes place at a residential or third-party facility, I confirm I have any necessary authorization for the Trainer's presence, and Marijana Fit is not responsible for that facility's own rules.

Media release (optional)

Marijana Fit may photograph or video me during sessions for promotional use (e.g. social media, website).

I confirm I have read and understood this waiver and the health questionnaire, and I sign both freely and voluntarily.

Please tick the box to confirm you agree.

4 Sign to confirm

Sign below with your finger.

Signature

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