To register to our gym please fill out the following medical form

Do you have a doctor’s permit to participate in intense physical activities?
Have you lost your consciousness in the last past 12 months?

​VTC WAIVER: ASSUMPTION OF RISK-PLEASE READ THE ACTIVITY DESCRIPTION

 

The activity in question relates to the use of a personal training, fitness training, group training, outdoor fitness, outdoor training operating in Vancouver, British Columbia clients of the gym Facility (including locker rooms) or outdoor fitness, use the Facility at their own risk at all times.

The "Facility" Will be known as the location at 1022 Seymour Street V6B 0G1 Vancouver BC--Outdoor locations vary. 

 

ACKNOWLEDGEMENT OF RISK | I acknowledge that I have been instructed to read this document titled Acknowledgment of Risk, Indemnification and Release and to understand its intent and content. I am aware that there are certain risks related to my use of the Facility or any outdoor fitness. These risks include, but are not limited to the following, namely: Physical pain and discomfort, episodes of light-headedness, fainting, abnormal blood pressure, chest discomfort, leg cramps, nausea, heart attack, serious neck and spinal injuries, complete or partial paralysis, brain damage, serious injury to any internal organs, serious injury to any bones, joints, ligaments, muscles, tendons, other components of my muscular and skeletal systems, serious injury or impairment to other of my body tissues, organs and systems, impairment of my general health and well-being and death.

 

I understand and accept that the risks of exercising may result not only in serious injury but in a serious impairment of my future abilities to earn a living, to engage in other business, social and recreational activities and generally to enjoy life.

Although the Class Area and the equipment are monitored on a regular basis, the equipment or the Class Area may be left in an unsafe condition by previous users, notwithstanding that such would be contrary to the rules and regulations of the Facility.

 

Accordingly, I shall be solely responsible, upon entering the Class Area or participating in outdoor classes, to ensure that I may use the Class Area and the equipment therein in a safe manner without risk of injury to myself or other users of the Facility. The Gym is not monitored or supervised on a regular basis and contains equipment that may be unsafe if used incorrectly.

 

Furthermore, the equipment in the Gym may be left in an unsafe condition by previous users notwithstanding that such would be contrary to the rules and regulations of the Facility.

Accordingly, I shall be solely responsible, upon entering the Gym, to ensure that I may use the Gym and the equipment therein in a safe manner without risk of injury to myself or other users of the Facility. My use of the Facility is not covered by any form or accidental death, injury, or disability insurance.

DISCLOSURE | Having acknowledged the existence of the above risks to my person which may arise out of or in connection with my use of the Facility or other facilities which are or may become associated with the Facility, I hereby declare and acknowledge that I have no physical and/or medical conditions and/or infirmities which may impact upon my safe use of the Facility and which may affect my ability to exercise or use the Facility safely or which may be significant to my health in case of an emergency or accident.

I understand and agree that I, will be solely responsible for my own health and safety at all times when I am using the Facility or outdoors.

I understand that participation in weight training, fitness and other physical activities that take place at the Facility or outdoors requires physical fitness and that I have consulted with a medical doctor prior to participating in any physical activity.

I confirm that I am in an appropriate condition for participation in a physically demanding sport.

I understand that VanCity Training Camp, Kelsey Larg Personal Training, or any independent contractors working as such are not liable. I elect to use the Facility and any facilities which may from time to time come to be included or associated with the Facility, including the shower and locker room at the Facility at my own risk.

In consideration of my being permitted to use the Facility, I do hereby release Kelsey Larg Personal Training, VanCity Training Camp together with its respective successors, assigns, officers, directors, representatives, agents, employees, servants, agents, volunteers or contractors (collectively the "Released Parties") from and against all claims, demands, damages, actions or causes of action, costs or expenses of any nature or kind whatsoever which may arise out of my use of the Facility and any facilities which may from time to time come to be included or associated with the Facility and the shower and locker room facilities, whether in law or equity, in respect of death, injury, loss or damage to my person or property howsoever caused, notwithstanding any such loss, injury or damage may have arisen by reason of the negligence of any of the Released Parties.

I further hereby undertake to hold and save harmless and agree to indemnify all of the Released Parties from any and all liability incurred by any or all of them arising as a result of or in any way connected with my use of the Facility and any facilities which may from time to time come to be included or associated with the Facility, including the shower and locker room at the Facility.

I acknowledge having read, understood, and agreed to this Acknowledgment of Risk, Indemnification and Release.

 

VANCITY TRAINING CAMP 2021

 

24H CANCELLATION POLICY | Clients are required to provide 24 hours notice for any cancellations on any bookings. If you forget or choose to forego your reservation you will be charged in full for the appointment booking. If you arrive late your session will be shortened to accommodate others whose appointments follow yours.

 

Out of respect and consideration to your trainer and other clients, please plan accordingly and arrive early for your appointment. In the event you are feeling any symptoms of fever or illness please contact the personal trainer and DO NOT come in for your session.

 

COVID-19 CONSENT | By signing the waiver you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you may be exposed to or infected by COVID-19 by attending Classes, Personal Training, small group training, and outdoor fitness and that such exposure may result in personal injury, illness, permanent disability, and death. You understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions or negligence of participants, facility representatives, and others, including but not limited to employees, contractors, or volunteers. By signing this waiver, you voluntarily agree to assume all the foregoing risks and accept sole.

 

PAR-Q | If you are less than the legal age required for consent or require the assent of a care provider, your parent, guardian, or care provider must also sign this form.

Delay becoming more active if:

  • you have a temporary illness such as a cold or fever; it is best to wait until you feel better

  • you are pregnant — talk to your health care practitioner, your physician, a qualified exercise professional, and/or complete the ePARmed-X+ at www.eparmedx.com before becoming more physically active

  • you have health changes — talk to your doctor or qualified exercise professional before continuing with any physical activity program.

 

You are encouraged to photocopy the PAR-Q+. You must use the entire questionnaire and NO changes are permitted. The authors, the PAR-Q+ Collaboration, partner organizations, and their agents assume no liability for persons who undertake physical activity and/or make use of the PAR-Q+ or ePARmed-X +. If in doubt after completing the questionnaire, consult your doctor prior to physical activity.

I, the undersigned, have read, understood to my full satisfaction, and completed this questionnaire.

I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes.

I also acknowledge that the community/"fitness center may retain a copy of this form for records. In these instances, it will maintain the confidentiality of the same, complying with applicable law.

In the effect that you are below or above the age range listed on the PAR-Q, is pregnant, answered yes to any one of the questions, or have a current condition or reason you may not be able to exercise, signing below releases any liability for Kelsey Larg Personal Training, VanCity Training Camp together with its respective successors, assigns, officers, directors, representatives, agents, employees, servants, agents, volunteers or contractors (collectively the "Released Parties") from and against all claims, demands, damages, actions or causes. You, the client understand it is advised to seek medical clearance and have chosen to continue with exercise against the advice of an exercise professional. 

Thanks for submitting!

VTC Waiver & Policies