eCoachJoe.com
Please complete and fax to Coach Joe Phillips
Fax: 510.538.8746


PERSONAL AGREEMENT WAIVER
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eCoachJoe.com’s fitness evaluation assesses various components of health and physical fitness. To assist in determining your fitness level, you will undergo a series of tests including heart rate, blood pressure, flexibility, body composition, muscular strength, and endurance. The tests may be stopped at any time because of fatigue, discomfort, or any other personal reason. Only trained personnel will administer the tests included in this evaluation.

The fitness testing given in connection with eCoachJoe.com is for the purpose of (1) designing a personal exercise program and (2) providing information on conditioning levels compared to norms. The fitness evaluation is designed to minimize the risks to the participant beginning an exercise program. The fitness evaluation is not intended to be and does not serve as a substitute for a medical clearance to exercise issued by a physician. More complete testing should be performed for individuals 40 years and older or those 35 years or older with at least one coronary risk factor present. This will ensure the relative safety of strenuous activity.

Although many benefits can be derived from regular exercise, certain risks and dangers do exist. If your health status is such that you can safely perform strenuous activities, and you properly use the facility, these risks and dangers can be minimized. It is your responsibility to determine whether you suffer from any health or physical problems in which coaching would not be recommended or which would dictate that your participation in coach Joe’s programs be modified. Coach Joe should be notified immediately of any medical problems. Please contact your physician if you have any questions or doubts about your ability to safely use eCoachJoe.com personal training services.

Your signature below indicates that you have accurately completed the following health history and have read the above and understand it. You will assume responsibility for your participation in eCoachJoe.comactivities. Additionally, your signature below indicates that all your questions were answered to your satisfaction.


Signature ________________________________________ Date __________________