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Pre-exercise Waiver / Screen

RISK WARNING AND LIABILITY EXCLUSION

IMPORTANT NOTICE – THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS – PLEASE READ IT CAREFULLY!

1. I agree that Soultrain Fitness Pty Ltd ACN 80 146 572 492, as a supplier of recreational services will supply services to me including but not limited to health studios and facilities, fitness equipment, fitness classes and/or training programs (“the recreational services”);

2. I acknowledge that whilst Soultrain Fitness, it's officers, employees, servants or agents take measures to make the recreational services as safe as is possible, there is a risk that I could be personally injured as a result of my use and/or participation in and/or or reliance on the recreational services;

3. I understand that any personal injury may result from my actions, the actions of others, or equipment failure, and may be life threatening or result in severe or permanent disability or death;

4. I agree that I will, at my own risk, use and/or participate in and/or rely upon the recreational services;

5. I agree that Soultrain Fitness, it's officers, employees, servants or agents will not be liable to me, for personal injury or death suffered by me due to the: a. recreational services not being supplied with due care and skill or not being reasonably fit for their purpose or for breach of any other consumer guarantees applied by the Australian Consumer Law of this State; and or b. negligence, breach of contract and or breach of statutory duty of Soultrain Fitness;

6. I agree that I will indemnify Soultrain Fitness, it's officers, employees, servants or agents for and against all liability to me for personal injury suffered by me due to the: a. recreational services not being supplied with due care and skill or not being reasonably fit for their purpose or for breach of any other consumer guarantees applied by the Australian Consumer Law of this State; and or b. negligence breach of contract and or breach of statutory duty of Soultrain Fitness;

7. I understand that this Risk Warning and Liability Exclusion is not intended to exclude restrict or modify liability which cannot lawfully be excluded, restricted or modified; and

8. I acknowledge that this Risk Warning and Liability Exclusion is governed by the laws of the State in which it is signed.

Click the button below to start your Pre-exercise Screen.

Start

Question 1 of 10

I have read this Risk Warning and Liability Exclusion, understand its content, and have agreed acknowledging this in accordance with my own free will; or I am the parent or legal guardian of a client who is a minor. I have: a. agreed to accompany and control the minor at all times whilst the minor is using and/or participating in and/or relying on the recreational services supplied to the minor by Soultrain Fitness; and b. read this Risk Warning and Liability Exclusion, understand its content, and agree to bind the minor to the terms of same.

A

YES

Question 2 of 10

I have read this and agree the following questions are a screening tool and does not provide advice on a particular matter, nor does it substitute for advice from an appropriately qualified medical professional. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by Soultrain Fitness for any loss, damage or injury that may arise from any person acting on any statement or information contained in this tool.

 

A

YES

Question 3 of 10

Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?

A

YES

B

NO

Question 4 of 10

Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?

A

YES

B

NO

Question 5 of 10

Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?

A

YES

B

NO

Question 6 of 10

Have you had an asthma attack requiring immediate emergency medical attention at any time over the last 12 months?

A

YES

B

NO

Question 7 of 10

If you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months?

A

YES

B

NO

Question 8 of 10

Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?

A

YES

B

NO

Question 9 of 10

Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?

A

YES

B

NO

Question 10 of 10

IF YOU ANSWERED 'YES' to any of the 7 questions, please seek guidance from your GP or appropriate allied health professional prior to undertaking physical activity/exercise.

 

ALTERNATIVELY, I acknowledge that I am currently under the supervision of a medical practitioner who has approved my participation in an exercise program.


By hitting the 'YES' button I acknowledge that I am under supervision of a medical practitioner.

 

IF YOU ANSWERED 'NO' to all of the 7 questions, and you have no other concerns about your health, you are ready to enjoy your workout at SOULTRAIN.

A

YES

B

NO

Confirm and Submit