Free Trial Sign-up Form

I {First Name} acknowledge that I am voluntarily participating in physical exercise and fitness activities provided by Studio 95.

I confirm that:

• I do not have any known medical conditions, injuries, or health concerns that a doctor or healthcare professional has advised would prevent me from exercising safely.

• I have not been told by a doctor to avoid physical activity.

• I have completed a health screening consistent with the PAR-Q+ (Physical Activity Readiness Questionnaire for Everyone), and I have answered “No” to all health-related questions.

• Based on these responses, I understand that I am cleared to participate in physical activity without the need for medical clearance.

If I answered “Yes” to any PAR-Q+ question or have any doubts about my health status, I understand that I should consult with a qualified healthcare professional before beginning or continuing any exercise program.

I acknowledge that physical activity carries inherent risks, including the risk of injury, illness, or other adverse health outcomes. I voluntarily assume full responsibility for any risks, injuries, or damages that may occur as a result of my participation.

I agree to inform Yehya Chehade at Studio 95 immediately if my health status changes.

By proceeding, I confirm that I have read, understood, and agreed to this waiver and health declaration.

Health Declaration (PAR-Q+ Style)

Full Name: {First Name}
Date of Birth: {DOB}

By proceeding, I, {First Name} confirm that:

• I do not have a heart condition and have not been advised by a doctor to perform only medically supervised physical activity.

• I do not experience chest pain during physical activity.

• I have not experienced chest pain while at rest in the past month.

• I do not experience dizziness, loss of balance, or loss of consciousness.

• I do not have any bone, joint, or musculoskeletal problems (such as back, knee, or hip issues) that could be worsened by physical activity.

• I am not currently taking prescribed medications for blood pressure or heart conditions.

• I do not have any other medical reason that would prevent me from safely participating in physical activity.

Clearance Statement

I, {first name} understand that if all of the above statements are true, I am cleared to participate in physical activity. If any statement is untrue, I understand that I must consult with a qualified healthcare professional before beginning or continuing an exercise program.