I desire to participate voluntarily in an exercise training program offered by Alexander Q, LLC. This program involves one or more of the following types of activities: calisthenics, muscular flexing and stretching, and aerobic (including HIIT) or endurance exercises. I understand that this program is not suitable for all persons, especially with known heart disease or other serious medical conditions with or without functional impairment.

I understand that the reaction of the cardiovascular system to such exercise activities cannot be predicted. There insists the possibility of certain changes that may take place during or following exercise. These include, but are not limited to: mild light-headedness, fainting, abnormalities of blood pressure or heart rate, ineffective heart function and, in rare instances, heart attack or cardiac arrest. I understand that it is recommended that I receive a medical clearance from my private physician prior to starting exercise classes.

I agree to release and hold harmless the Alexander Q, LLC, and its affiliated instructors from all liabilities, medical claims or expenses should any abnormal medical condition, problem or accident occur as a result of my participation in this program to the fullest extent allowable by law. Finally, I understand that the instructor is trained to conduct physical fitness classes, but is not qualified to render medical care or advice.

I certify that I am at least eighteen (18) years or age or have consent from my guardian to participate in these classes. I have read this form and understand its contents. Any questions that have arisen or occurred to me have been answered to my satisfaction.