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Health and Fitness Informed Consent

I, have voluntarily agreed to participate in the personalized health and fitness program offered through Stretch. I recognize that my participation in the program may involve strenuous physical activity including but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I affirm that I have consulted with my medical treatment provider prior to participating in the program with Stretch. I affirm I am in good physical condition and do not suffer from any known disability or physical condition that would limit my ability to participate in physical activity and training at Stretch. I affirm I have no health condition which would prevent or limit my participation with Stretch. I affirm my participation is purely voluntary and in no way mandated by Stretch.

I fully understand that I may be injured including but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to any body part including but not limited to knees, spine, back, feet, or any other illness or soreness and even death.

If at any point my medical or physical condition shall change in any way that would render the representation I have affirmed here inaccurate I will immediately notify Stretch prior to engaging in any exercise of training with Stretch.

I HEREBY AFFIRM THAT THE FOREGOING AFFIRMATIONS ARE ACCURATE AND I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.

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May 16, 2023 6:23 pm EDT

Health and Fitness Informed Consent Uploaded by Larissa Mychaskiw - info@stretchwny.com IP 24.97.242.146