MODEL HEALTH CONTRACTS & COMPANY POLICIES
If you have any of the following physical conditions, you may be required to have a Medical Clearance and Doctors’
Consent Form:
– Hypertension (>145/95 mm Hg)
– Hyperlipidemia (cholesterol>220 mg/dl or a total cholesterol-to-HDL ratio of >5.0)
– Diabetes
– Family history of heart disease prior to age 60
– Abnormal resting ECG
Model Health respects your privacy. Due to the nature of our services, it is necessary to collect certain personal information from Clients. All information collected is treated as STRICTLY CONFIDENTIAL, and Model Health will not share or redistribute your information with any third party except as necessary to provide services purchased by the Client, or as required by law. Any information gathered from a Client is simply for our records and, if applicable, necessary to provide the services to the Client for which we have been contracted. All Terms and Conditions are subject to change. Model Health trainer qualifications and insurances are updated regularly and are available to view at the Client’s request.
Model Heath assumes no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire consult your doctor prior to physical activity. By signing above, you have read, understood, and completed this questionnaire.
THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUPMENT BELONGING TO MODEL HEALTH OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT; (3) AND/OR NEGLIGENT INSTRUCTION OR SUPERVISION.
By signing the form above, you acknowledge you have been informed of, understand and are aware that any exercise program, whether or not requiring the use of equipment, is a potentially hazardous activity. You also have been informed of, understand and are aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that you are voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding, and appreciation of the dangers involved. You have hereby agreed to expressly assume and accept any and all risks of injury, regardless of severity, or death.
You confirm you have been advised that an examination by a doctor should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If you have chosen not to obtain a doctor’s consent prior to beginning this fitness program with Model Health, you hereby agree that you are doing so solely at your own risk. In any event, you acknowledge and agree that you assume the risks associated with any and all fitness related activities and/or exercises in which you participate.
YOU ACKNOWLEDGE THAT YOU HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY.
BY SIGNING THIS FORM, YOU ARE WAIVING ANY RIGHT YOU OR YOUR SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST MODEL HEALTH FOR THEIR NEGLIGENCE OR THAT OF THEIR EMPLOYEES, AGENTS, OR CONTRACTORS.
This form is an important legal document that explains the risks you are assuming by beginning an exercise program. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to signing it.
Direct Debits & Gym Closures:
ModelHealth reserves the right to close for up to 4 weeks in a calendar year. This is unlikely but it is factored into our pricing.
National Holidays/Bank Holidays:
ModelHealth will be closed on national and bank holiday, unless otherwise stated. Our team will always update you on any closures and alternative opening hours during holiday periods.
ModelHealth is a Health & Fitness company based in Newcastle Upon Tyne. Our facilities/services include: A healthy deli, 10,000 sqft gym, Personal & Group Training, Physio/Massage, Business Services and much more!
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