Health Waiver | AarohaFit

AarohaFit Health Waiver

To register to please fill out the following waiver form

First Name

Email Address

Last Name

Date of Birth

Please check the boxes that apply to you:

Do you or someone in your family have high blood pressure/heart disease?

Do you or someone in your family have diabetes/high blood sugar?

Have you had flu like symptoms e.g. sore throat, cough, cold, runny nose?

Have you been been overseas in the past 14 days OR have you been in contact with someone who has been overseas in the past 14 days?

Do You have a doctor's pemit to participate in intense exercise?

I have voluntarily chosen to participate in training activities provided by Total Quality Movement and Health Ltd. trading as “Total Quality Movement and Health” or “AarohaFit”. I confirm that I have and will continue to honestly represent my level of fitness, health, nutrition, use of medication, medical history, and current physical, mental, and medical condition to AarohaFit.

I understand that the training may involve weightlifting, gymnastic movements, strenuous bodyweight exercises and other high exertion activities and that I am not obligated to perform nor participate in any activity that I do not wish to do, 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 trainer. I give Total Quality Movement and Health Ltd. 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 expenses incurred.

In consideration of being allowed to participate in the activities and programmes of Total Quality Movement and Health Limited (“AarohaFit”) and to use the facilities and equipment owned and/or under the control of AarohaFit, in addition to the payment of any fee or charge, I hereby waive, release and forever discharge AarohaFit from any and all responsibility or liability for injuries or damages resulting from my participation in any activities or my use of equipment or facilities in the abovementioned activities to the maximum extent permissible by New Zealand law.

I declare that the information I’ve provided is accurate & complete

Initials

Today's Date

Thanks for submitting!

AarohaFit Health Waiver

AarohaFit
Contact Us!

Aaroha Reiki

आरोह रेकी

AarohaFit Health Waiver

AarohaFit Contact Us!

AarohaFit
Contact Us!