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Clients Trainers Appointments Services Evaluation Forms Emotional Contentment Forms Client Quality of Life and Secondary Complications Forms Muscle Testing Forms Functional Movement Forms Return Client Questionnaire SCI Forms P4P Classes P4P Client Registration Application P4P Class Sign-Ups TPS Applications Client Feedback Forms Internship Feedback Form's PTH Podcast Feedback Forms Pedaling for Parkinson's Program Days Time Slots Client Interest Forms Release of Liability Forms
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Pedaling for Parkinson's



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Release of Liability Waiver for Pedaling for Parkinson's Program at The Perfect Step
Program Overview:

The Perfect Step is excited to offer a new specialized program called Pedaling for Parkinson's. This program is dedicated to individuals living with Parkinson's disease and is designed to complement our typical chronic care therapy services. Through high-intensity cycling sessions, this program aims to reduce Parkinson s symptoms and improve overall well-being. The program is based on the Pedaling for Parkinson's protocol developed by the Davis Phinney Foundation, which is supported by industry research.

Participant Acknowledgement and Waiver:

1. Voluntary Participation: I, the undersigned participant, understand and acknowledge that my participation in the Pedaling for Parkinson's program at The Perfect Step is entirely voluntary. I am participating in this program at my own risk and have chosen to engage in this program based on my own free will.

2. Medical Clearance: I acknowledge that I have consulted with my physician or medical care team before starting this program. I have obtained medical clearance to participate in high-intensity cycling activities. I understand that the program involves physical exertion, and I am physically capable of participating in the Pedaling for Parkinson's classes.

3. Assumption of Risk: I understand that participation in the Pedaling for Parkinson's program may involve risks, including but not limited to physical injury, cardiovascular events, muscle strains, or other medical conditions. I acknowledge that I am voluntarily assuming all risks associated with participation in this program.

4. Waiver and Release of Liability: In consideration of being allowed to participate in the Pedaling for Parkinson's program, I hereby release, discharge, and hold harmless The Perfect Step, its staff, instructors, volunteers, agents, and representatives from any and all claims, liabilities, demands, actions, or causes of action arising out of or related to any injury, illness, damage, or loss that I may suffer as a result of my participation in this program, whether caused by negligence or otherwise.

5. Indemnification: I agree to indemnify and hold harmless The Perfect Step and its affiliates from any and all claims, damages, liabilities, costs, and expenses (including attorney's fees) arising out of or related to my participation in the Pedaling for Parkinson's program.

6. Emergency Medical Treatment: I authorize The Perfect Step and its representatives to seek emergency medical treatment on my behalf in the event of an injury or medical emergency during my participation in the program. I understand that I am responsible for any medical expenses incurred as a result of such treatment.

7. Program Guidelines and Compliance: I agree to comply with all guidelines and instructions provided by the Pedaling for Parkinson's program instructors. I understand that failure to adhere to these guidelines may result in my removal from the program.

8. Vocal Feedback and Accommodations: Participants are encouraged to provide vocal feedback to the instructors regarding any necessary accommodations they may require during the Pedaling for Parkinson's classes. Instructors are committed to making the necessary adjustments to ensure a safe and comfortable experience for all participants. If you have any specific needs or concerns, please communicate them directly to the instructor before or during the class.

9. Audio/Video Recording for Security: Please be advised that the multipurpose room where the Pedaling for Parkinson's classes are held is equipped with audio/video-enabled cameras. These cameras are always recording to ensure the security and protection of both our clients and instructors. By participating in the program, you acknowledge and consent to this ongoing recording for safety and security purposes.

10. Photo/Video Release: I grant permission for The Perfect Step to take and use photographs, videos, or other recordings of my participation in the Pedaling for Parkinson's program for promotional or educational purposes without compensation to me.

11. Acknowledgment of Understanding: I have read and fully understand this release of liability waiver. I acknowledge that I am signing this document freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

12. Disclaimer: Participants must be able to independently mount and dismount the bike and complete all necessary tasks within a single Pedaling for Parkinson s class; otherwise, they must have a personal assistant present to support them.

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This waiver must be signed and submitted before participating in the Pedaling for Parkinson's program at The Perfect Step. Please consult your physician before beginning any new exercise program.

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