PERSONAL TRAINING PAR-Q, POLICIES, & WAIVER

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

If you are planning to become more physically active than you are now, start by answering the nine questions below. If you are between the ages of 15 and 65, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 65 years of age and you are not use to being very active, check with your doctor.

Please read the questions carefully and answer each one honestly by selecting YES or NO.

Has a doctor ever said you have a heart condition and recommended only medically supervised physical activity?

YesNo

Do you have chest pain brought on by physical activity?

YesNo

Do you tend to lose consciousness or fall over as a result of dizziness?

YesNo

Has a doctor ever recommended medication for your blood pressure or a heart condition?

YesNo

Do you have a bone or joint problem that could be aggravated by the proposed physical activity?

YesNo

Are you aware through your own experiences or a doctor’s advice of any other physical reason against your exercising without medical supervision?

YesNo

Are you over the age of 65 and not accustomed to vigorous exercise?

YesNo

Have you consulted your physician regarding increasing your physical activity and/or performing a fitness assessment?

YesNo

If you answered "No" to question 8, will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?

YesNo

I certify that the above statements are true and correct. I understand that a Doctor’s note may be requested. If a note is requested, I should not proceed with this program until the note is received.

POLICIES

1. If you have any of the following physical conditions, you may be required to have a Medical Clearance and Physician’s Consent Form:

• Hypertension (>145/95 mm Hg)

• Hyperlipidemia (cholesterol >220 mg/dl or a total cholesterol-to-HDL ratio of >5.0)

• Diabetes

• Family history of heart disease prior to age 60

• Smoking

• Abnormal resting EKG

• Any other condition that ELITE CONDITIONING in its sole discretion may deem to present an unreasonable risk to your health, were you to participate in a fitness evaluation or program.

2. Unless other arrangements are made, Personal Training sessions and Program Design explanations (these services herein individually and collectively referred to as “sessions”) last approximately fifty (50) minutes. In order to provide the best service to all Clients, ELITE CONDITIONING cannot commit to extending any particular session beyond its previously scheduled time. In those cases where schedules do permit, Clients may request to extend sessions beyond fifty minutes at the current hourly session rate.

3. Sessions will be conducted at location(s) specified by the Trainer.

4. Rates for ELITE CONDITIONING services are subject to change. Services prepaid for by Client, which are unused at the time of any rate change, will be honored at the price already paid.

5. Time slots are available on a “first-come, first-serve” basis by appointment. Sessions, whether purchased a la carte or as part of a package, must be paid for when the appointment is booked. Client may schedule prepaid sessions in advance.

6. Client is required to train at the minimum sessions per week in which they signed up for. For example, if a client signed up for two (2) sessions per week, they're required to meet this minimum. If Client is unable to meet this minimum requirement, they forfeit the session(s) for the week. On a case-by-case basis, ELITE CONDITIONING may allow Client to make-up these session(s) in the subsequent week.
I acknowledge and accept the weekly training minimum policy.

7. In order to provide the best possible service to all Clients, ELITE CONDITIONING asks that all Clients be ready to begin their session at the scheduled time. Time lost at the beginning of a session due to a Client’s tardiness cannot be made up at the end of the session as that could potentially impact the next scheduled Client. Unless prior arrangements have been made, a Client will be deemed a “No-Show” when they are fifteen (15) minutes late for an appointment. No refunds or credits will be given for “No-Shows”.

8. Regarding cancellations:

• All cancellations must be made with a minimum of 24 hours advance notice in order to receive credit for the session. Due to an inability to fill the previously blocked time period, cancellations with less than 24 hours’ notice given will not qualify for a credit and Client will be charged for the session. Cancellations can be made by call/text: 619-302-2317; or e-mail: [email protected] to be deemed effective.

• All qualifying cancellations will result in a credit being given which can be applied to a session(s) in the same or subsequent week, or other products or services from ELITE CONDITIONING.
  I acknowledge and accept the cancellation policy.

9. Payment is due before or at the time the appointment for a session is booked. ELITE CONDITIONING accepts cash, checks, and all major credit cards.

10. Clients are required to observe any and all rules of the gym or facility where workouts take place, if applicable.

11. Shirts and shoes are required at all times during sessions. Client should also have water available as necessary during the workout.

12. Client consents to and releases ELITE CONDITIONING and/or any other location/facility we may conduct activities from any liability resulting from any of the two parties.
I acknowledge and accept.

13. Clients have the right to terminate a particular exercise or workout at any time. You are in control of your workouts. If an exercise is uncomfortable or painful, or if you want to stop for any reason, you may do so. If a particular exercise is painful for you to do or you have an injury or other limitation that makes it difficult for you to do, ELITE CONDITIONING can attempt to substitute another exercise to work that particular muscle group.

14. You will get from your workouts what you put in. Results will vary by individual and ELITE CONDITIONING cannot guarantee specific results. Client acknowledges that Client is responsible for their decisions regarding whether or not to exercise consistently, eat properly, rest enough, and live a healthy lifestyle.

15. ELITE CONDITIONING respects your privacy. Due to the nature of our services, it is necessary to collect certain personal information from Clients. All information collected is treated as STRICTLY CONFIDENTIAL, and ELITE CONDITIONING will not share or redistribute your information with any third party except as necessary to provide services purchased by the Client, or as required by law. Any information gathered from a Client is simply for our records and, if applicable, necessary to provide the services to the Client for which we have been contracted.

16. All Terms and Conditions are subject to change.

WAIVER

I, (Client), have volunteered to participate in a fitness program provided to me by ELITE CONDITIONING (and Jon McQueen) which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. In consideration of ELITE CONDITIONING’s (and Jon McQueen) agreement to instruct and train me, I do here now and forever release and discharge and hereby hold harmless ELITE CONDITIONING (and Jon McQueen) and their respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT BELONGING TO ELITE CONDITIONING (AND JON MCQUEEN) OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT; (3) AND/OR NEGLIGENT INSTRUCTION OR SUPERVISION.

I, (Client), have been informed of, understand and am aware that any exercise program, whether or not requiring the use of exercise equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death.

I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I, (Client), have chosen not to obtain a physician’s consent prior to beginning this fitness program with ELITE CONDITIONING (and Jon McQueen), I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness related activities and/or exercises in which I participate.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST ELITE CONDITIONING (AND JON MCQUEEN) FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS.

This form is an important legal document that explains the risks you are assuming by beginning an exercise program. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to signing it.

By typing your full name and date in the fields below, you're electronically signing this form and agree to the PAR-Q, Policies, and Waiver in their entirety:

ALL fields with an (*) are required.

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