Terms and Conditions

Par-Q

TERMS & CONDITIONS

Bookings / Cancellations

Sessions must be paid for in full at the time of confirmation.

Once you begin, there will be no refunds or credits offered to you if you decide to depart the program or do not attend some of the training sessions.

Fitness & Health

If you have a pre-existing medical condition, you are strongly advised to seek your medical practitioner’s advice before your first training session.

If you have a pre-existing medical condition or injury you must make us aware of it so that we can best suit the training sessions to your individual needs.

Remember that this is an opportunity for you to achieve your goals in the most effective and safest way possible!

Remember you do not need to be of a certain fitness level to partake in training, however, you need to be willing to give it your all and push yourself to the limit.

Although we want you to challenge yourself, you are ALWAYS allowed to stop, rest, catch your breath and sip water.

Commitment

You must come to each training session with a commitment to improving your health and fitness!

Punctuality

Please make adequate travel arrangements and time allowance each day to ensure you arrive at your sessions on time.

Safety

You must comply with the safety regulations and instructions of your trainer all times.

You are ALWAYS allowed to stop, rest, catch your breath and sip water.

Responsibility

Genesis Design for Health can not be held responsible for:

- Any injury or illness you suffer as a result of any on-going medical condition or a poor standard of health or fitness.

- Any medical condition, injury or illness that you sustain during any training session at Genesis Design for Health.

- Any damage to or loss of your personal property during any training session.

Indemnity

You agree to indemnify and hold harmless Genesis Design for Health and all its employees from any and all direct or indirect losses that you may suffer as a result of using the services of Genesis Design for Health. 

Agreement

Please read these terms & conditions carefully before signing.

You must accept and agree to these terms & conditions at time of booking your Genesis Design for Health.

Name of participant(print): ___________________________

Date: ____________

Signature of participant: _____________________________

Signature of Staff: ___________________________________

Date: ____________

Par-Q

Genesis Design for Health

Physical Activity Readiness Questionnaire (PAR-Q) Form

This information is used solely as an aid. It will not be released without your knowledge and consent.

Name_________________________Date________

Birth date________________

Address____________________________________________________________

Street City State:______________________

Zip:_____________

Phone:______________    Email______________________________

Personal Physician Name:________________________ Phone:_________________________________

Personal Training Par-Q (Physical Activity Readiness Questionnaire)

YES or NO

___1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

___2. Do you feel pain in your chest when you do physical activity?

___3. In the past month, have you had chest pain when you were not doing physical activity?

___4. Do you lose your balance because of dizziness or do you ever lose consciousness?

___5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by   change in your physical activity?

___6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

If you checked “yes” for any question #1-#6, the “National Strength and Conditioning Association” states that you must receive clearance from your physician prior to participating in a progressive resistance exercise program.

Please obtain a physician release form from Body by Genesis.

I have read this entire document and have answered all of the questions to the best of my knowledge.

Last Name:____________________________                

First Name:___________________________

(print)                         

Signature:_______________________

Date:___________________________