Assumption of Risk. I understand that my time in Breakthrough Performance may include activities that may be challenging to me, including lifting weights, high intensity exercise and exercise that may push my body to the limit. I recognize and understand that my time in Breakthrough Performance comes at my own choice and it’s my personal decision to undertake in such activities stated above.

Training and Nutrition: I understand that the physical fitness and nutrition program is designed to accommodate multiple individuals with varying goals and fitness levels.
 

Description of Exercise                                                                                                                               

I understand that exercise at the gym will involve participation in a number of types of fitness activities. These activities will vary depending upon the objectives that my instructor and I establish, but will potentially include: 1) aerobic activities including, the use of treadmills, stationary bicycles, ski ergs, rowing machines, outdoor walking/running 2) muscular endurance and strength building exercises including, the use of free weights, weight machines, and exercise apparatus; and 3) selected physical fitness and body composition tests.
 

Description of Potential Risks                                                                                                                               

I understand that no exercise program is without inherent risks regardless of the care taken by the instructor. I realise that when participating in any exercises, particularly those that induce cardiovascular stress, there is a slight chance of serious injury (e.g., heart attack, stroke, or other cardiovascular accidents) or catastrophic incident (e.g., death, paralysis). Likewise, I know that engaging in muscular endurance, strength building, and other fitness activities sometimes results in minor injuries (e.g., bruises, musculoskeletal strains and sprains), less frequent, more serious injuries (e.g., muscle tears, herniated disks, torn rotator cuffs), and rarely, catastrophic injury (e.g., death, paralysis).

Description of Potential Benefits                                                                                                                                                  

I understand that a regular exercise program has been shown to have benefits to general health and well-being. I know that some of the benefits can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement of cardiovascular function, reduction in the risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility.

​

Participant Acknowledgments:

In agreeing to use Breakthrough Performance facilities:

• I acknowledge that my participation is completely voluntary

• I understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks.

• I give consent to certain physical touching that may be necessary to ensure proper technique and body alignment.

• I understand that the achievement of health or fitness goals cannot be guaranteed.

• I am in good physical condition, have no impairment which might prevent my participation in such activities, and have been advised to consult with a physician prior to beginning this program.

• I have been advised to cease activity immediately if I experience unusual discomfort and feel the need to stop.

• I agree that my belongings left within the changing rooms are left there at my own risk.

• I agree that my vehicle is parked on the premises at its own risk and if damaged it will be under my own insurance cover.

• I agree that using the gym under camera supervision is at my own risk and I am liable for any injuries that may occur.

• I agree that I have read and understand the above agreement and confirm that I agree to the contents of this informed consent agreement.