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We would appreciate some information about you. We will not send you any junk mail. If you do not wish to provide your mailing address, please provide your email address. This will help us inform you of schedule changes, upcoming specialty classes and holiday hours.

Today's Date:
July 27, 2026

 

RELEASE OF LIABILITY
THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS. PLEASE READ IT CAREFULLY!

 

1) You, the Member, are aware that there are risks associated with participating in fitness activities and exercise. Your participation is completely voluntary, and you freely accept and fully assume all responsibility for all risks, and all possibilities of personal injury, death, property damage, or loss to yourself or any other persons as a result of your participation in the fitness activities. You and your heirs, next of kin, executors, administrators and assigns agree:

a) to waive all claims, known or unknown, that you have or may have in the future against Maki Performance Training, including their owners, officers, directors, agents, employees volunteers, business operators, independent contractors and site property owners or lessees;



b) that Maki Performance Training is not liable or responsible for any damage to, loss or theft of your property;


c) to release and forever discharge Maki Performance Training from all liability for any personal injury, death, property damage or loss resulting from your participation in the fitness activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake in error of judgement of Maki Performance Training; and


d) to be liable for and to hold harmless and indemnify Maki Performance Training from all actions, proceedings, claims, damages, costs demands, including court costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with your participation in fitness activities.

2) I acknowledge that either I have had a physical examination and have been given my physician's permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, program and use of equipment.


Please select who will be participating...
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First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information
How did you hear about us?*
If "Other" chosen, please fill out.
Where did you purchase?*
Did someone refer you?*
No
Yes
If yes, please enter your referer's name:
First Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
PAR-Q (Physical Activity Readiness Questionnaire)

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.

If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.


Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly:

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
Do you feel pain in your chest when you do physical activity?*
No
Yes
In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?*
No
Yes
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?*
No
Yes
Do you know of any other reason why you should not do physical activity?*
No
Yes


IF YOU ANSWERED

YES to ONE or MORE of these Questions: 
Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES. 
*You may be able to do any activity you want - as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. 
* Find out which community programs are safe and helpful for you. 


NO TO ALL QUESTIONS:

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
-start becoming much more physically active - begin slowly and build up gradually. This is the safest and easiest way to go.
-take part in a fitness appraisal - this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, speak with your doctor before you start becoming much more physically active. 


DELAY BECOMING MUCH MORE ACTIVE: If you are not feeling well because of a temporary illness such as a cold or a fever - wait until you feel better;or if you are or may be pregnant - talk to your doctor before you start becoming more active. 

PLEASE NOTE: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan. 

Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire, consult your doctor prior to physical activity. 

NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes. 

"I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."

Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the seven questions. 

INFORMED CONSENT

THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS. PLEASE READ IT CAREFULLY!

Full name *

I ___(Full name)___declare that I intend to use some or all of the activities, facilities, programs, and services (hereinafter called "Activities") offered by Maki Performance Training and I understand that each person (myself included), has a different capacity for participating in such Activities. I am aware that all Activities offered are either educational, recreational or self-directed in nature. I assume full responsibility during and after my participation in such Activities and for my choices to use or apply, at my own risk, any portion of the information or instruction I receive.


I ___(Full name)___ understand that part of the risk involved in undertaking any of the Activities is relative to my own state of fitness or health (physical, mental or emotional) and the awareness, care and skill with which I conduct myself in any of the Activities of Maki Performance Training. In addition, I understand that I am free to withdraw from, reduce or modify my involvement in any of the activities and I realize that I should do so on recognition of any signs of physical discomfort which may include: transient lightheadedness, fainting, chest discomfort, leg cramps, nausea, etc.

I ___(Full name)___ further understand that the possible risks involved in participating in a fitness training program may include: muscle, tendon, ligament, bone and joint soreness; muscles, tendon and ligament strain, tear or rip; bruising, skin lacerations, tears, cuts or punctures; shortness of breath, dizziness, fainting or unconsciousness, tightness in chest; bone breaks, discolouration, separations, or fractures; fatigue, sweating, eye punctures, heart attack, stroke, or even death; aggravation of an existing or past injury, discomfort, or problem with any other injury, discomfort or physical problem associated with physical activity.

I  ___(Full name)___ have read the above list of possible risks associated with the fitness program developed and implemented by a certified fitness trainer employed by Maid Performance Training. I consent to taking all of the above noted risks by VOLUNTARILY PARTICIPATING in the fitness program designed and implemented by a certified fitness trainer employed by Maid Performance Training. I declare that I have read, understood and agree to the contents of this INFORMED CONSENT AGREEMENT in its entirety.

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
How did you hear about us?*
If "Other" chosen, please fill out.
Where did you purchase?*
Did someone refer you?*
No
Yes
If yes, please enter your referer's name:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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