Medical Release

I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardiorespiratory system (dizziness, discomfort in breathing, heart attack). The possibility of certain unusual changes during exercise does exist. They include such conditions as muscle soreness or stiffness, abnormal blood pressure, fainting, disorders of heart beat and instances of heart attack and death. I hereby acknowledge and accept these risks.

To my knowledge, I do not have any limiting physical conditions or disability that would prelude an exercise program. I hereby certify that I know of no medical problem (except those noted below) that would increase my risk of illness and injury as a result of participation in a regular exercise program.

Medical problems (if any): A physician’s examination should be obtained by all participants prior to involvement in the exercise program. If a participant chooses not to obtain a physician’s permission, she/he must sign the following statement: I have been informed of the need for a physician’s approval or participation in a progressive exercise/fitness program. I fully understand the strenuous nature of the program. I accept complete responsibility for my health and well-being in the voluntary exercise/fitness program and related testing and understand that no responsibility is assumed by the owner or employees of Phase Movement.