You should be in good physical condition and be able to participate in this analysis. By engaging in this testing or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Pursuit Athletic Performance, LLC, Kurt A. Strecker, DC, LLC and Pursuit Fitness, LLC from any and all claims or causes of action, known or unknown, arising out of their negligence.
In signing this waiver, you agree that you are unaware of any medical condition that would prevent you from participating in the analysis procedures and proposed exercise program, or have documented clearance from a physician to participate.
I hereby consent to the performance of gait analysis of myself or of the undersigned by the Pursuit Athletic Performance, LLC.
I further understand that there are certain degrees of risk associated with strenuous physical activity, and I am willing to accept and consent to that risk.
I have read, or the above information has been explained regarding consent. I have had an opportunity to ask questions about my gait analysis. By signing below, I agree and intend this consent form to cover the procedures prescribed for my condition and for any future conditions. I understand this does not constitute a doctor-patient relationship.