Medical Questionnaire

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Female Only: Select all that apply
  • Informed Consent to Exercise:

  • I understand that in signing this document; affirm that I have read this form in its entirety and that all questions have been answered to the best of my knowledge & satisfaction. My participation in any proposed exercise regime is totally voluntary & I assume the risk of such exercise, and further agree to hold harmless FitZen from any and all claims, suits, losses, or related causes of action for damages, including, but not limited to, such claims that may result from my injury or death, accidental or otherwise arising in any way from the exercise regime.

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