Assumption of Risk
I , agree to participate in a physical fitness program designed by District Fitness Group Limited, which may include, but not necessarily be limited to, CrossFit training. District Fitness Group Limited has made me fully aware that the fitness program which District Fitness Group Limited offers, and in which I agree to participate, is of a nature and kind that is extremely strenuous and may push me to the limits of my physical abilities. I recognise and understand that the programme is not without varying degrees of risk which may include, but are not limited to the following:
•Injury to the musculoskeletal and/or cardio respiratory system which can result in serious injury or death.
•Injury or death due to negligence on the part of myself, my training partner, or other people around me.
•Injury or death due to improper use or failure of equipment.
•Injury or death due to a medical condition, whether known or unknown to me.
I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in the District Fitness Group Limited programme, and accept full responsibility for any death that may result from participation in any activity or physical programme. I herby certify that I know of no medical problems that could increase my risk of illness and injury as a result of participation in a fitness programme designed by District Fitness Group Limited. District Fitness Group Limited informed me that there exists the possibility of adverse physical change during an exercise programme and I fully understand the same. District Fitness Group Limited informed me that these changes could include abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instances, heart attack or even death. With my full understanding of the above information I agree to assume all risk associated with my participation in District Fitness Group Limited’s fitness programme.
Release of Liability
In full consideration of the above mentioned risks and hazards and in full consideration of the fact that I am willingly and voluntarily participating in the activities made available by District Fitness Group Limited, I hereby waive, release and discharge District Fitness Group Limited and its employees and volunteers of any kind related to, arising from, or in any way connected with my participation in the fitness programme.
This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the reminder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with District Fitness Group Limited to administer first aid deemed necessary, and in case of serious illness or injury give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the wellbeing of the child.
I recognise that there is risk involved in the types of activities offered by District Fitness Group Limited. Therefore I accept financial responsibility for any injury that I may cause either to myself or to any other participants due to my negligence. I further agree to indemnify and hold harmless District Fitness Group Limited, their employees and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by District Fitness Group Limited.
I agree to allow District Fitness Group Limited, its employees and volunteers to use picture(s), film and/or likeness of me for advertising purposes. In the event I choose not to allow use of such media I must inform District Fitness Group Limited of this in writing.
Do you suffer from any metabolic diseases such as Diabetes Mellitus?
Have you ever been diagnosed with raised cholesterol?
Do you ever feel faint or have spells of severe dizziness?
Have you ever been diagnosed with a heart condition and instructed you should only do physical activity recommended by a doctor?
Is there any history of Coronary Heart Disease in your family?
Do you suffer from high blood pressure?
Has your doctor ever said that you may have a bone or joint problem that has or could be made worse with exercise?
Are you pregnant or have you recently had a baby?
Have you suffered from any major illness or have any major surgery in the past two years?
Do you know any reason why you should not participate in a program of physical activity?
Is your doctor currently prescribing you drugs or medication?
Do you drink more than the recommended units of alcohol per week (14 units)?