Explanation of Exercise Tests - You will perform a series of exercise tests. These tests will vary in exercise intensity. You will be monitored closely throughout and only asked to complete tests appropriate to your fitness level. I may stop any test at any time because of signs of fatigue or, you may stop when you wish because of personal feelings of fatigue or discomfort.

Risks & Discomforts – there exists the possibility of certain changes occurring during these tests. 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 the testing.

Responsibilities of the Participant – 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. Your prompt reporting of feelings of effort during the testing itself are also of great importance. It is your responsibility to disclose such information when requested by testing staff.

Benefits to be Expected – the results obtained from the series of tests may assist in the diagnosis of any illness or in evaluating what type of physical activities you might do with low risk of harm.

Freedom of Consent – your permission to perform these tests is voluntary. You are free to deny consent or stop at any point, if you so desire.

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

Client Sign:    ________________________________

Print Name:    ________________________________

Date:               _____________