Fields marked with an * are required.

• In order to participate in group exercise classes, it is recommended to wear either shoes designed for aerobics or cross training. Dress shoes, marking shoes, keds, sandals, etc. will not be admitted into the studios. This is for the benefit of the participant due to the necessary lateral support needed in classes.
• VT Rec Sports may take photographs and videos of classes for promotional materials with no further compensation being paid.
• Mexican Handwraps are required in all the Ringside Boxing Classes. Handwraps may be purchased from Recreational Sports for $5 per pair.
• Refunds are given only for medical reasons. Medical notice is required and a $10 administrative fee is assessed.

• I, the aforementioned participant, agree to indemnify, defend, and hold harmless, Virginia Polytechnic Institute and State University (the university) and their officials, agents, and employees from any claims, damages, and actions of any kind or nature, whether at law or in equity, arising from my participation in the aerobics programs and/or fitness programs. I realize that my participation in this activity involves risks of injury including but not limited to tendonitis, strains, sprains, bursitis, fractures, delayed muscle soreness, contusions, abrasions, and even the possibility of death. Also, I recognize that there are many other risks of injury including serious and disabling injuries that may arise due to my participation in this activity and that it is not possible to specifically list each and every individual injury risk. By signing this form I desire, consent, and voluntarily choose to take part in all such activities. Knowing the material risk and appreciating, knowing, and reasonably anticipating that other injuries and death are a possibility, assume all the risks accompanying the nature of the activities and agree that the University or any of its officers, agents, and employees conducting such activities will not be responsible for any damages or injuries to me.
  
• Furthermore, I also confirm that I have appropriate healthcare insurance for this activity, or if not, I will not rely upon the university for medical expenses. Also I understand that any injury incurred and the resulting medical expense from injury will be my responsibility and the university will not be responsible for any related expenses, other than those incurred at the Virginia Tech Schiffert Health Center.
  

  I agree that the following statements are true:

  • My doctor has NOTsaid that I have a heart condition or that I should NOT do physical activity.
  • I do NOT feel pain in my chest when I do physical activity.
  • In the past month, I have NOT had chest pain when I am doing physical activity.
  • I do NOT have a pattern of lose my balance because of dizziness or lose consciousness.
  • I do NOT have a bone or joint problem that could be made worse by a change in my physical activity.
  • My doctor is NOT currently prescribing drugs for my blood pressure or heart condition.
  • I do NOT know of any other reason why I should not do physical activity.

* I hereby affirm that I have read, understood and agreed to accept the terms, policies and conditions of the above document. I agree to have a Medical Release Form completed by my physician and faxed to the Recreational Sports Office before beginning exercise if any of the above 7 health questions are answered "NO." [Medical Release Form]