I acknowledge that I have voluntarily chosen to participate in a program of progressive physical exercise by a CrossFit PE. I understand such a program can enhance the musculoskeletal and cardio respiratory systems. I also understand there are inherent risks in participating in a program of strenuous exercise. I
have been informed of the possible strenuous nature of a personal training program and the
potential for unusual, but possible, physiological results including, but not limited to, abnormal
blood pressure, muscle soreness, fainting, heart attack or death. I understand and agree that it is my responsibility to inform my Personal Trainer of any conditions or changes in my health, now and ongoing, which might affect my ability to exercise safely and with minimal risk of injury.
I understand that I am not obligated to perform nor participate in any activity that I do not wish to, and that it is my right to refuse such participation at any time during my training sessions. I
understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or
discomfort, I am to stop the activity and inform my Personal Trainer. I give CrossFit PE and the staff of the facilities I train in permission to seek emergency medical services
for me should I become injured or ill with the understanding that I am responsible for any
By signing this document, I assume all risk for my health and well-being and hold harmless of
any responsibility, the instructor, facility or any persons involved with this program and testing
procedures. I understand that questions about exercise procedures and recommendations are
encouraged and welcomed.
I have read, understood and completed this questionnaire. Any questions I had were answered
to my full satisfaction.
I understand pictures and video may be taken during the workouts and used for marketing purposes.