If you have answered YES to any of the above questions, you must obtain a
medical clearance prior to carrying out a physical exercise program.
HEALTH RELATED BEHAVIOURS
Please rate the following. One star being negative to five stars being positive
Please read carefully before submitting form.
I agree, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in physical activity with Fearless Boxing & Fitness.
Having such knowledge, I hereby release Fearless Boxing & Fitness, their representatives, agents, and successors from liability for accidental injury or illness, which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.
I agree to disclose any physical limitations, disabilities, ailments, or impairments that may affect my ability to participate in said fitness program.