GetRed Studios - Unsupervised Access Disclaimer Form

Located in Sutton Community Dance

Unsupervised Access Disclaimer Form

First Name

Last Name

Please read the below carefully …

By completing this form, I understand and agree to the following terms while accessing GetRed Studios in the absence of Justin Emmerson or any supervising staff:

Unsupervised Access:

I understand that I will be training unsupervised and accept full responsibility for my own safety and conduct during this time.

Allocated Training Times Only:

I agree to only access the studio during my pre-agreed training times and will not use the facility outside of these hours.

Sign In & Out:

I will sign in and out at reception on the second floor of Sutton Community Dance every time I use the studio.

Respect for Equipment & Space:

– I will return all equipment exactly where I found it.

– I will leave the studio clean and tidy for the next user.

Beats Speaker Use:

– A power cable will be provided for the Beats speaker.

– I will ensure it is unplugged after use and that no trailing cables are left out that could cause a trip hazard.

Training Expectations:

– I will follow the prescribed training programme provided.

– I will work at a weight and intensity level I feel confident and competent with. – I will not attempt movements or loads I am unsure of without prior instruction.

Liability Waiver:

I release and hold harmless Justin Emmerson, GetRed Studios, and Sutton Community Dance from any liability for injuries, accidents, or damages that may occur during unsupervised use of the studio.

I have read this form, I will comply with the terms laid out and accept them in their entirety.

Todays Date

By submitting this form, you agree that GetRed Studios may contact you regarding your enquiry and process your information in accordance with our Privacy Policy.

Name

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

Do you feel pain in your chest when you do physical activity?

In the past month, have you had chest pain when you were not doing physical activity?

Do you lose your balance because of dizziness or do you ever lose consciousness?

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions?

Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?

Do you know of any other reason why you should not do physical activity?

1. Explanation of the exercise test - you will perform a number of exercise tests. The exercise intensity of each will be at a level appropriate to your ability. I may stop the test at any time because of signs of fatigue or, you may stop when you wish because of personal feelings of fatigue or discomfort.

2. Risks and discomforts - there exists the possibility of certain changes occurring during the test. They include abnormal blood pressure, fainting, disorder of heartbeat and in rare instances, heart attack, stroke or death. Every effort will be made to minimise these risks by evaluation of preliminary information relating to your health and fitness and by observations during testing. Trained personnel are available to deal with unusual situations that may arise.

3. Responsibilities of the client -information you possess about your health status or previous experiences of unusual feelings with physical effort may affect the safety and value of your exercise tests. Prompt reporting of feelings of effort during the exercise tests are of great importance. It is your responsibility to fully disclose such information when requested.

4. Benefits to be expected- the results obtained from the exercise tests will assist in evaluating what type of physical activities you may participate in.

5. Injuries - any questions about the procedures used in the exercise tests are encouraged. If you have any doubts or questions, please ask for further explanations.

6. Freedom of consent - your permission to perform the exercise tests is voluntary. You are free to deny consent or stop at any point, if you so desire.

I have read this form and I understand the test procedures that I will perform. I consent to participate.

GetRed Studios - Unsupervised Access Disclaimer Form

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