- PURPOSE AND EXPLANATION OF PROCEDURE
I hereby acknowledge and agree to engagement in an acceptable programme of fitness and/or sports training undertaken by either my child/ren or myself. I also give consent for him/her to be placed in fitness training programme activities that are recommended for improvement, these may include dietary counselling, stress management, and health/fitness education activities. The levels of exercise he/she performs will be based upon his/her cardio-respiratory (heart and lungs) and muscular fitness. I understand that he/she may undergo a graded exercise test prior to the start of his/her training programme in order to evaluate and assess his/her present level of fitness and track progress over time.
By enrolling either online or otherwise in any Actualise-designed and/or –implemented programme, I understand that I have agreed to the payment of services rendered, as well as products provided where appropriate. Upon enrolment, I am liable to pay a once-off annual membership fee per programme participant, with the level of membership being decided by myself (see “Services Price List”). Any discounts provided to me on an official Actualise quotation or invoice is only valid for the period noted. If I have not met that requirement, the full fee is due without dispute and as soon as possible.
My child/ren or I will be given exact instructions regarding the amount and kind of exercise I/he/she should do. A professionally trained sports coach and/or fitness trainer will provide leadership to direct my/his/her activities, monitor performance, and otherwise evaluate overall effort. Depending upon health status, I/he/she may or may not be required to have my blood pressure and heart rate evaluated during these sessions to regulate the exercise within desired limits. I understand that my child/ren’s or myself is expected to attend every session and to follow personnel guidance with regard to exercise, stress management, and other health or sports related programmes. If my child/ren’s or myself taking prescribed medications, I have informed the programme personnel and further agree to inform them promptly of any changes set out by a medical practitioner.
I have been informed that during my child/ren’s or my own participation in the aforementioned programme. He/she will be asked to complete the physical activities unless symptoms such as excessive fatigue, shortness of breath, chest discomfort or similar occurrences appear. At this point, I have been advised that it is his/her complete right to decrease or stop exercise and that it is my obligation to inform the programme personnel of my symptoms, should any develop.
I understand that during the performance of exercise, programme personnel may periodically monitor performance and, perhaps measure pulse, blood pressure, or assess feelings of effort for the purposes of monitoring progress. I also understand that the programme personnel may reduce or stop my exercise programme when any of these findings indicate ceasing of the activity should be done for my child/ren’s or my own safety and benefit.
I also understand that during the undertaking of the sports or exercise training programme, appropriate physical positioning and alignment of the body may be necessary to assess my muscular and bodily reactions to specific exercises, as well as to ensure correct technique is performed and body alignment is optimised. I expressly consent to the physical contact for the stated reasons above.
Lastly, I consent to photographs and videos being taken during any participation in any Actualise programme or event. This may be shared on appropriate social media profiles exclusively held by Actualise, unless formally stated otherwise by letter, email, or other legal document with signatures of participant and Actualise management.
It is my understanding and I have been informed that there exists the remote possibility during exercise of adverse changes including, but not limited to, abnormal blood pressure, fainting, dizziness, disorders of heart rhythm, and in very rare instances heart attack, stroke, or even death. I further understand and I have been informed that there exists the risk of bodily injury including, but not limited to, injuries to the muscles, ligaments, tendons, and joints of the body. Every effort, I have been told, will be made to minimize these occurrences by proper staff assessments of my condition before each personal fitness training session, staff supervision during exercise and by my own careful control of exercise efforts. I fully understand the risks associated with exercise, including the risk of bodily injury, heart attack, stroke or even death, but knowing these risks, it is my desire to participate as herein indicated.
- BENEFITS TO BE EXPECTED AND ALTERNATIVES AVAILABLE TO EXERCISE
I understand that this programme may or may not benefit my physical fitness or general health. I recognize that involvement in the personal fitness training sessions will allow me to learn proper ways to perform conditioning exercises, use fitness equipment and regulate physical effort. These experiences should benefit me by indicating how my physical limitations may affect my ability to perform various physical activities. I further understand that if I closely follow the programme instructions, that I will likely improve my exercise capacity and fitness level after a period of 3-6 months.
- CONFIDENTIALITY AND USE OF INFORMATION
I have been informed that the information that is obtained in this personal fitness training programme will be treated as privileged and confidential. This information will consequently not be released or revealed to any person, to the use of any information which is not personally identifiable with me for research and statistical purposes so long as same does not identify my person or provide facts which could lead to my identification. Any other information obtained, however, will be used only by the programme staff to evaluate my exercise status or needs.
- ENQUIRIES AND FREEDOM OF CONSENT
I have been given an opportunity to ask questions as to the procedures before acknowledging the consent.
I have read this Informed Consent form, fully understand its terms, understand that the below is valid for the next 12 months and may be used as legal documentation if necessary. I commit to it freely and voluntarily, without inducement.