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www.seniorfitnyc.com 212-677-6131
Irene Pastore, ISSA, NASM
Certified Personal Trainer, Certified Specialist in Fitness For Older Adults
CLIENT CONSENT
I understand that it is my responsibility to check with my physician to ensure that I have no medical condition that contraindicates my participation in SeniorFit Personal Training. I understand that if my medical condition changes, and that exercise is contraindicated by my doctor, it is my responsibility to inform my personal trainer, and discontinue my participation in the program.
I have completed the Health History Profile indicating disease, and/or orthopedic conditions diagnosed by my physician. I know of no medical problem, that would increase my chance of injury or illnesss as a result of my participation in an exercise program.
I acknowledge that it is my responsibility to inform my personal trainer if I need to refrain from any particular exercise that I do not feel comfortable, or capable of performing, or that my physician has advised against. I agree to inform my personal trainer of any change in prescription medication that may affect my ability to exercise.
I understand that while every precaution will be taken to avoid risk of injury, there are risks of injury inherent in any type of exercise, and that I assume full responsibility relative to my participation in a personal training program.
I have carefully read, and understood the above, and give my consent to participate in SeniorFit Personal Training.
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