Please read the following questions carefully and check (X) next to the appropriate answers. Answer all questions honestly and to the best of your ability.
Fitness Participation Agreement
I have voluntarily chosen to participate in Adapted Fitness Program offered by Powered to Move. I have answered the questions above to the best of my ability and affirm that my physical condition is good and I have no known conditions that would prevent me from participation. I acknowledge that participation is at my own pace and comfort level and that I may discontinue my participation at any time. Furthermore, I agree to self-determine my exertion through good judgement and to discontinue any activity that exceeds my personal limitations. I understand that by signing this agreement that I hereby waive and release Powered to Move, its Board Members, staff, and all relevant employees in any way from liabilities or demands as a result of injury, loss, or adverse health conditions as a result of my participation. I affirm that I have read and understand ths document and I wish to participate in fitness activities.