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New member registration: Fluid Fitness
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Waiver
Waiver
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes    No
Do you lose your balance because of dizziness or do you ever lose consciousness? Yes    No
Is you doctor currently prescribing drugs for your blood pressure or heart condition? Yes    No
What are your current physical activities?
What are your current injuries, illnesses or complications?
What are your past injuries, problems or chronic conditions?
Are you currently taking any medications?
Contraindications for Power Plate Training

Please answer YES or NO to the following:
Pregnancy Yes    No
Thrombosis Yes    No
Cardiovascular diseases Yes    No
Recent wounds resulting from an operation or surgical intervention Yes    No
Synthetic/artificial joints Yes    No
Acute hernia/discopathy/spondylolysis Yes    No
Severe migraine Yes    No
Pacemakers Yes    No
Carrying fitted IUDs, coils, metal pins, bolts or plates Yes    No
Tumors Yes    No
Retinal problems/dysfunction Yes    No
Today's Date:
I hereby indemnify and hold harmless Fluid Fitness, Inc. and its officers, directors, shareholders, agents servants and employees from any and all claims for personal injury, property damage or other loss resulting from the use of GYROTONIC EXPANSION SYSTEM, the GYROTONIC equipment, Power Plate and any other exercise method engaged in on the premesis. I undertake the use of the equipment and methods at my own risk.
Please be advised that there is a 24-hour cancellation policy or full payment will be required. All sales are final.
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