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Informed Consent/Liability Waiver:

I understand the potential risks involved in participating in a  rigorous physical exercise program.

I assume the responsibility and risks as explained to me. I understand that participating in an  exercise program may include, but not be limited to, serious bodily injury, heart attack,  stroke, or even death.

I consent voluntarily to participate in an exercise program based on the information provided  to me and am in acceptable condition ok for exercise.


I, Certify and advise that, Diana Kalivas, of Diana K Fitness, has advised me prior to my commencement of  participation in cardiovascular and resistance training programs that such participation could  result in physical injury.

That I freely and knowingly assume the risk in such programs, and I hereby waive any right,  claim, or cause of action against Diana Kalivas/any class venue (Whitman Public Library, Whitman Middle School etc) and release her and/or her company from any liability for any injury, cost, damage expense or claim, which I or  anyone on my behalf might incur as a direct or indirect result of my participation in this  cardiovascular and resistance-training program.

That I have read this Liability Waiver form, understand and agree with each of the foregoing  points.

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© 2013 Diana K Fitness

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