I do hereby acknowledge:

• My consent to answer questions concerning my physical activity participation and my lifestyle;
   

• My understanding that there are potential risks when exercising, i.e., episodes of transient lightheadedness, abnormal blood pressure, chest discomfort, leg cramps, heat exhaustion and stroke, nausea, cardiovascular problems and that I assume willfully those risks;
   

• That I have read, understood, and completed the Physical Activity Readiness Questionnaire (Par-Q) and answered NO to all the questions or received clearance to participate from my physician.
  
  
  
  PLEASE READ CAREFULLY: AWARENESS OF RISK.
  
  I know that exercise training is a potentially hazardous activity. I should not participate in the training program unless I am medically able. I assume the risk of participation. I also assume any and all other risks associated with participation in the training program including but not limited to falls, contact with other people, the effects of the weather, and the condition of the exercise environment (roads, parks, gyms, etc.), all such risks being known and appreciated by me. Knowing these facts, and in consideration of you accepting my registration, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf covenant not to sue, and waive, release, and discharge West Coast Kinesiology, the host Centre, volunteers, and any and all sponsors, including their agents, employees, assigns or anyone else acting for or on their behalf, from and against any and all claims of liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of my participation in this event. The Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. I hereby acknowledge having read this Release and Waiver and understand and accept it's terms.
  
   

      Proceed to Par-Q Form