Fitness Ballet

Questionnaire and Liability

PAR-Q - please select 'YES' or 'NO' to the following:

  Has your doctor ever said that you should only do physical activities recommended by a doctor?

  Has your doctor ever said that you have a heart conditions?

  Do you take medications on a regular basis?

  Is your doctor currently prescribing drugs for your blood pressure or heart condition?

  Do you lose balance due to dizziness or do you ever lose consciousness?

  Do you have a bone or joint problem?

Liability Waiver

I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this excercise program. I understand the result of any fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions. I fully understand that I may injure myself as a result of my participation in FitnessBallet exercise program and I hereby release FitnessBallet from any liability.