Rec Center Waiver

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Notice of Assumption of Risk - Waiver and Release

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I understand that engaging in any physical exercise, class, or activity or using the fitness equipment and/or facilities at the Dordt University Recreation Center for any purpose may pose a serious risk to health or cause death. Therefore, prior to commencing such an exercise program or using the fitness equipment or facilities, I will read and complete the Physical Activity Readiness Questionnaire (PARQ) and have attended an orientation. If the answer is “YES” to any question in the PARQ, I understand that it is strongly recommended that a physician be consulted to ensure that it is appropriate for me to engage in the physical activities for which I desire to participate. I understand that after starting to engage in physical activity, if I notice any changes in my physical condition that may indicate a health risk by continued physical activity, it is strongly recommended that a physician be consulted to ensure that it is appropriate to continue the physical exercise, class, or activity. I agree that if I engage in any physical activity or use the fitness equipment and/or facilities, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result from my participation in physical exercise, classes, activities, or using the fitness equipment and/or facilities at the Dordt University Recreation Center except as provided at the end of the paragraph below.

I, on behalf of myself, my heirs and executors, hereby release and discharge and covenant not to sue Dordt University, its agents, officers and employees, from and for any and all liability for all loss or damages, and any claims or demands therefore, on account of injury to my person or property, including death, arising from any physical exercise, class, or activity or using the fitness equipment and/or facilities at the Dordt University Recreation Center; and I agree to indemnify and hold Dordt University and its agents harmless from any loss, liability, damage, or cost, including reasonable attorney fees that may occur as a result of or due to my presence in or about the premises or resulting from my participation at or use of the equipment and/or facilities; except where such loss, liability, damage, or cost results from the sole negligence of Dordt University and its agents or employees.

PHOTO/VIDEO RELEASE: I give my permission to have photos and/or video recordings taken of me or my child(ren) for publicity purposes at the Dordt University Recreation Center during activities even though we will not receive compensation of any kind for appearing in such photos or video recordings.

I have read, understood, and voluntarily accepted the conditions of the Waiver of Liability/Release and the Photo Release printed above:

I have read, understand, and agree to the Notice of Assumption of Risk - Waiver and Release.

The Physical Activity Readiness Questionnaire

Being physically active is very safe for most people. Some people, however, should check with their doctors before they increase their current level of activity. The PAR-Q has been designed to identify the small number of adults for whom physical activity may be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Answer yes or no to the following questions:

If you answered yes:
If you answered yes to one or more questions, are older than age 40 and have been inactive or are concerned about your health, consult a physician before taking a fitness test or substantially increasing your physical activity. You should ask for a medical clearance along with information about specific exercise limitations you may have.

In most cases, you will still be able to do any type of activity you want as long as you adhere to some guidelines.

If you answered no:
If you answered “No” to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have low risk of having any medical complications from exercise. It is still important to start slowly and increase gradually. It may also be helpful to have a fitness assessment with a personal trainer or coach in order to determine where to begin.

When to delay the start of an exercise program:

  • If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.
  • If you are or may be pregnant, talk with your doctor before you start becoming more active.

I have read, understand and answered this questionnaire to the best of my ability and knowledge.