top of page
Log In
Home
Team
Results
Shop
Classes
Schedule
Check In
Purchase
Waiver
More
Use tab to navigate through the menu items.
Health Clearance & Waiver
Medical Health Clearance & Liability Waiver
Are you medically cleared to participate in exercise?
*
No
Yes
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
*
No
Yes
Do you feel pain in your chest when you do physical activity?
*
No
Yes
In the past month, have you had chest pain when you were not doing physical activity?
*
No
Yes
Do you lose your balance because of dizziness or do you ever lose consciousness?
*
No
Yes
Do you have a bone or joint problem that could be worsened by a change in your physical activity?
*
No
Yes
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
*
No
Yes
Do you know of any other reason why you should not do physical activity?
*
No
Yes
I understand and acknowledge that there is inherent risk with increased physical activity, and I assume responibility for that risk.
I acknowledge that I'm soley responsible for safely navigating the workout space as is
I declare that the health info I’ve provided is accurate & complete
I will not hold Leaner Fitness or it's owners liable for any injury or health event that may occur during training services or while using the workout space
By checking this box, I represent that I have read, fully understood, and voluntarily agree to be bound by all the terms and conditions of this agreement. I further acknowledge that my electronic signature provided below is intended to have the same legal effect as a handwritten signature and is fully enforceable.
Today's Date
Your Signature
Clear
Submit
bottom of page
