I have been informed of, understand and am aware that any exercise program, whether or not requiring the use of exercise equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death.

I recognise that Dean Gselmann (Natural Advancement) is not a qualified physician or licensed dietician. Before beginning any diet plan or exercise program it is my sole responsibility to seek the advice and expertise of a licensed physician/dietician regarding my meal plan before starting.

I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and nutrition program, or initiating a substantial change in the amount of regular physical activity performed and any dietary changes.

If I have chosen not to obtain a physician’s consent prior to beginning this fitness program with Dean Gselmann (Natural Advancement), I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness related activities and/or exercises in which I participate.

I recognize that specific foods may create allergic and possible fatal reactions, most specifically, products containing nuts. I have therefore specified any food allergies/ sensitivities I am aware of on the questionnaire form. I am aware that specific foods may interact with certain medications. I have discussed the side effects of all of my medications with my doctor or pharmacist. If I am pregnant or lactating, have high cholesterol, high blood pressure, high blood sugar, diabetes, renal disease, gastric by-pass surgery or any other medical condition that requires special dietary restrictions, I must receive permission from my physician before participating in the training/nutrition program, or may be advised to seek help from another health professional.

None of the meal plans or exercise program’s from Natural Advancement should be performed or otherwise used without clearance from your physician or licenced health care provider first. I Dean Gselmann (Natural Advancement) am not a medical professional and nothing on this plan should be misconstrued to mean otherwise.

This form is an important legal document that explains the risks you are assuming by beginning an exercise and nutrition program. It is critical that you have read and understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to signing it.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST DEAN GSELMANN FROM NATURAL ADVANCEMENT HEALTH AND FITNESS.