Updated 25 Sep 2020
BY ACCEPTING THE TERMS AND CONDITIONS IN THIS PAGE YOU WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.
Pre-Exercise Screening
- Have you ever suffered or been told by a doctor that you have suffered a stroke?
- Has your doctor ever told you that you have a heart condition?
- Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?
- Have you had an asthma attach requiring medical attention at any time in the last 12 months?
- If you have diabetes (type I or type II) have you had any trouble controlling your blood glucose in the last 3 months?
- Do you have any other medical conditions(s) that may make it dangerous for you to participate in physical activity/exercise?
- Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical/activity/exercise?
This checklist is self administered and self evaluated and should be answered honestly and to the best of your knowledge:
If you answered Yes to any of the questions, we recommend you obtain written medical clearance/approval from a GP or appropriate health professional stating you are able to safely undertake physical activity/exercise under the supervision of Silvano Santos @ Contramestre Tucum and/or any instructors facilitating any activities associated with FlowArtes.
If at any point during the activity you feel unwell or unable to carry out the activity please let the instructor know immediately. Acknowledge that you are working to your own maximum / boundaries and not to those of others.
You are being advised that Fitness Activities and Martial Arts have OBVIOUS RISKS due to the DEMANDS of the activities themselves. By signing below you have acknowledged that you are taking part in these Activities AT YOUR OWN RISK.
Definitions
- The term “Fitness Activity” & “Martial Art” may include but not be limited to bodyweight training, controlling the body in awkward movements such as in handstands, cartwheels and other acrobatic movements, etc. the martial art may also have gymnastic like movements and training. There will also be training of intervals another fitness related exercises.
- The term INJURY may include physical, emotional, psychological and ANY OTHER related injuries that may occur during training. These may include, but not limited to: dislocations, sprains, breaks, fractures, brain damage, exercise induced illness or even death, etc.
- The term “FlowArtes instructors” refers to head coach Silvano Santos @ Contramestre Tucum and any other instructors facilitating activities at FlowArtes.
- The term “affiliated Instructors” refer to other instructors who have been invited to give a class or workshop for FlowArtes.
Express assumption of risk
I am aware that there are significant risks involved in all aspects of fitness activities and martial art training. These risks include, but are not limited to: falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s).
I understand that the training may involve gymnastics movements, strenuous bodyweight exercises, full body contact and other high exertion activities, and that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training session.
I understand that should I feel light-headed, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my trainer. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while with, or under direction of FlowArtes instructors and/or affiliated Instructors.
I am aware that this agreement is ongoing and will apply to all future occasions I participate in training with FlowArtes instructors and/or affiliated Instructors. I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.
Release
In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered by FlowArtes instructors and/or affiliated Instructors from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
I give permission for FlowArtes instructors and/or affiliated Instructors to seek emergency medical services for me should I become injured or ill, with the understanding that I am responsible for any expense incurred. If I am applying on behalf of a minor child, I also give full permission to FlowArtes instructors and/or affiliated Instructors to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.
Indemnification
The participant recognises that there is risk involved in the types of activities offered by FlowArtes instructors and/or affiliated Instructors. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs.
I further agree to indemnify and hold FlowArtes instructors and/or affiliated Instructors from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by FlowArtes instructors and/or affiliated Instructors, at the main building or abroad. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training by FlowArtes instructors and/or affiliated Instructors.
I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligence or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.
The above collected information will be kept private and confidential and not be released or shared with other bodies, except for the purposes of administration, billing, and compliance with local laws.