Mount Morris Central School. Fitness Room. Procedures, Rules, and Required Forms
|
|
- Janel Richardson
- 6 years ago
- Views:
Transcription
1 Mount Morris Central School Fitness Room Procedures, Rules, and Required Forms
2 Where is the Fitness Room Located? The Mount Morris Central School fitness room is located across from the new gymnasium. What Type of Equipment is Available? The fitness room has a cardiovascular area. Presently there are two Life Fitness 9100 treadmills and one stationary bicycle. This equipment is designed to be used by those of all fitness levels, from beginners to more experienced. There is also a full circuit of Hammer Strength and Life Fitness machines. Using these machines, every muscle in the body can be worked to some degree. Free weights are also available with various benches and dumbbells that range from 5 to 100 pounds in 5-pound increments. Who is Eligible to use the Room? Students in grades 9-12 will use the room as part of their Physical Education class. All teachers who bring students in to use the equipment must have attended a training session on how to properly use the equipment. Coaches who have attended a training session may bring their athletes in to use the room as part of their sports practice. These students must have met the following guidelines: 1. Must have a valid sports physical on file with the school nurse. 2. Must have filled out a participation information form. 3. Must have filled out an informed consent/assumption of risk form. 4. Must have filled out a parental authorization & waiver of claims form. All employees of Mount Morris Central School may use the room providing they have met the following guidelines: 1. Attended a training session. 2. Must have a physician s medical clearance form turned in. 3. Must have filled out a participant information form. 4. Must have filled out an informed consent/assumption of risk form. Students in extracurricular activities (i.e. weight lifting club) will be allowed to use the room with a faculty supervisor who has attended a training session. These students must have met the following guidelines: 1. Must have a physician s medical clearance form turned in or have an updated sports physical on file with the school nurse. 2. Must have filled out a participant information form. 3. Must have filled out an informed consent/assumption of risk form. 4. Must have filled out a parental authorization & waiver of claims form. When is the Room Available for Use? Faculty members who wish to use the room must have turned all paperwork into the high school secretary. They must then fill out a building use form from the business office stating the dates and times they wish to use the room. When faculty signs up, someone in the group must agree to be the supervisor for that time period. Coaches who wish to bring in their teams must communicate with the Athletic Director as to the dates and times they wish to use the room.
3 Fitness Room Rules 1. There is absolutely no food, drink, or gum allowed in the fitness room except for water. 2. Proper workout attire must be worn. This includes shorts or workout pants, t-shirt or sweatshirt, socks, and sneakers. Jewelry must be removed. 3. Do not bring personal belongings into the fitness room. Leave all personal items in your classroom or in a gym locker. We will not be responsible for items taken or lost. 4 Please wipe down equipment after you use it. Bring a towel with you for this purpose. 5. Absolutely no horseplay is allowed. 6. Performing a proper warm-up and stretching before your workout is highly advised. 7. Use all machines properly. 8. Absolutely no muddy or wet sneakers are allowed. 9. Please notify the supervisor if you notice any equipment in need of repair. 10. Always use a spotter when using free weights. 11. Always work with weights that are within your ability. Do not attempt to lift weights that are way too heavy for you. 12. Never drop or slam your weights when you are done. 13. Always put your weights away to their proper location when you are done using them. Do not leave them on the bars, machines, or leaning against things. 14. Use secure collars when using free weights to prevent weights from sliding. 15. Be sure pins are securely in place when using machines. 16. Look around you before you attempt any lift to be sure the area is clear. 17. When using dumbbells, be sure the floor around you is clear of any other weights. 18. There is a 20-minute time limit for cardiovascular equipment when people are waiting. 19. Report any injuries immediately to the supervisor. 20. Violations of these rules may result in loss of room privileges.
4 Confidential Information Controlled Distribution PHYSICIAN S MEDICAL CLEARANCE FORM (name) has requested use of the Mount Morris Central School District s Fitness room. A description of the equipment and exercise activities that are available are described in the attached brochure and explained to the participant in the orientation session. Teachers and/or coaches supervise the District s fitness room. If you know of any medical reason why participation by the applicant would be unwise, please indicate so on this form. If you have any further questions about the facility, its equipment or activities, please call the Mount Morris Central School District s High school Office at PHYSICIAN S REPORT I, (physician s name) give my consent for (members name) to use the Mount Morris School District s Fitness room and participate in its exercise activities. Specific Recommendations: Restrictions: Physician s Signature: Date Physician s Address: Physician s Phone Number:
5 Mount Morris Central School District Fitness Room Participant Information Form Name: (Last) (First) (M.I.) Address: Phone Number: Emergency Contact Name: Emergency Contact Phone Number: Emergency Contact Relationship: Date of Birth: / / (month) (day) (year) Sex (Please circle): Male Female Status (Please circle): Student Faculty/Staff (FOR FITNESS ROOM STAFF ONLY) Attended Orientation Program Physician s Medical Clearance Form Informed Consent/Assumption of Risk Form Participant Information Form Parental Authorization & Waiver of Claims Form (Students Only)
6 Mount Morris Central School District Informed Consent Form Assumption Of Risk Agreement Name: Phone: Address: Emergency Contact: Emergency Contact Phone: Emergency Contact Relationship: As a condition of using the Mt. Morris Central School District s Fitness Room, I acknowledge that I have read this form, fully understand it and agree to its terms and conditions. 1. I hereby acknowledge that I have obtained medical clearance from my physician for the use of the fitness room s equipment and participation in the fitness room exercise activities. The medical clearance form provides proof of this clearance. I further understand that I will be solely responsible for monitoring the manner and intensity of my use of the fitness room s equipment and exercise program, and will do so in a way which will not jeopardize my health, safety or physical well being, or the health, safety or well being of other fitness room users. In particular, I agree that I am solely responsible for complying with any restrictions identified by my physician as to use of the equipment or participation in exercise activities. I further agree that if any circumstances occur which would impact my physician s medical clearance, I will notify the District and my physician of the circumstance. 2. I hereby acknowledge that I have participated in the fitness room orientation program provided by the District. I agree to follow all directions of the fitness room supervisor and acknowledge that failure to follow such directions may result in the termination of my privilege to the use the fitness room. 3. I understand that the supervision of the fitness room provided by the district is general in nature and the fitness room supervisor is not responsible for supervising or monitoring the manner of intensity of my use of the equipment or participation in exercise activities. 4. I hereby acknowledge that my use of the District s fitness room involves risks including possible injuries to bones, muscles, tendons and ligaments, dehydration, abnormal blood pressure, fainting and heart disorders (including heart attacks). Based on the foregoing, I assume all risks associated with my use of the District s fitness room. 5. I hereby release the Mt. Morris Central School District, its Board of Education, in both their corporate and individual capacities its employees and supervisors for all claims (of any nature) relating to my use of the District s fitness room, including, but not limited to claims for personal injury or death, and damage to or loss of personal items. (Users Signature) If user is under the age of 18 the user s parent or guardian must also sign this form as acknowledgement and acceptance of the terms and conditions set forth herein on behalf of the user. (Signature of user s Parent/Guardian) (Date)
7 Parental Authorization & Waiver of Claims Your child has an opportunity to participate in the Mount Morris Central School District s Fitness Room. Prior to your child s use of the Fitness Room, you must provide the District with the following: 1. A fully completed Physician s Medical Clearance form for your child. 2. An Informed Consent form signed by your child and yourself. 3. A completed Participant Information form. 4. This Parental Authorization and Waiver of Claims form. STATEMENT OF AUTHORIZATION As the parent/guardian, I give my consent for my child to use and participate in the activities of the District s Fitness Room. In doing so, I state that I understand and agree to the following: 1. In case of a medical emergency, I grant any Fitness Room supervisor and District employee the right to authorize medical care for my child, if none of the persons named below can be reached. 2. I have obtained a completed Physician s Medical Clearance form for my child. 3. My child has completed the Informed Consent form, which I have acknowledged as parent/guardian of my child, and I agree to the terms and conditions set forth in that Informed Consent form on behalf of my child as his/her parent/guardian. ASSUMPTION OF RISK AND WAIVER OF CLAIMS I acknowledge that potential risks to my child during his/her use of the District s Fitness Room, and participation in its activities, include, but are not limited to: injuries to bones, muscles, skin, tendons and ligaments, dehydration, abnormal blood pressure, fainting and heart disorders (including heart attacks). As a condition of my child s use of the District s fitness Room, and participation in its activities, I assume, on behalf of my child, these and all other risks, which may arise from my child s use of the District s Fitness Room and participation in its activities. I further waive, release and discharge the Mount Morris Central School District, its Board of Education, in both their corporate and individual capacities, its employees, agents and assigns, for all claims (of any nature) relating to my child s use of the District s Fitness Room and participation in its activities, including, but not limited to, claims for personal injury, of death, and damage to or loss of personal equipment. AUTHORIZATION STATEMENT I have read this Parental Authorization and Waiver of Claims form and the Informed Consent form, understand both and have discussed their contents with my child. Based on the foregoing, I fully and voluntarily agree to the terms and conditions set forth in this form and the Informed Consent form as a condition of my child s use of the District s fitness Room and his/her participation in its activities. Student s Name Parent/Guardian Signature Date
8 Fitness Room Responsibilities for the Supervisor Any teacher or coach who is designated as the supervisor for a group of faculty members or students is responsible for the following: 1. Must be sure that all fitness room rules are followed. 2. Must be present in the fitness room the entire time period the group is working out. 3. Must communicate with the Superintendent of Buildings and Grounds as to any damaged or malfunctioning equipment. 4. Must report any injuries to the school nurse and fill out an accident report. 5. Must make any emergency phone calls necessary. All emergency contact forms will be available in a folder in the fitness room. 6. Must be aware that the closest defibulator is in the Athletic Directors office.
Byron-Bergen Central. School District. Fitness Room. Gillam Grant Community Center Community Education Program
Byron-Bergen Central School District Fitness Room Gillam Grant Community Center Community Education Program WHERE IS THE FITNESS ROOM LOCATED? In the Byron-Bergen High School, in the northwest wing ( Room
More informationWelcome to the Cedar Grove-Belgium Fitness Center
Welcome to the Cedar Grove-Belgium Fitness Center In this guide, you will find valuable information about the Cedar Grove-Belgium Fitness Center. The Cedar Grove-Belgium Board of Education and administration
More informationGymnasium Sign In/Sign Out Sheet. Please sign in before commencing your workout
Gymnasium Sign In/Sign Out Sheet Please sign in before commencing your workout Name Date Time In Time Out Signature Pre Activity Questionnaire Name: 1) Have you undertaken an exercise program before? Yes
More informationSTRENGTH & CONDITIONING INFORMATION AND PRE-ACTIVITY SCREENING
STRENGTH & CONDITIONING INFORMATION AND PRE-ACTIVITY SCREENING Please take the time to read through all the information and ensure all relevant forms are completed. The following questionnaire and waivers
More informationDepartment of Athletics, Fitness and Recreation. Policy Timeline. Policy Overview. Applies to: (examples Faculty, Staff, Students, etc)
Department of Athletics, Fitness and Recreation Fitness Center and Recreation Space Policy Policy Timeline Initial Effective Frequency of Review: Date(s) Revised: Annually Policy Overview Applies to: (examples
More informationOxford Parks & Recreation Department. Fit After 50 Workout Center. Membership Packet
Oxford Parks & Recreation Department Fit After 50 Workout Center Membership Packet The Fit After 50 (FA50) Workout Center Regulations have been established to make it possible for you to use the facility
More informationWellness Student POLICIES & PROCEDURES manual
Wellness Student POLICIES & PROCEDURES manual WELLNESS CENTER CENTRAL CAMPUS August 2011 TABLE OF CONTENTS PAGES WORKOUT REQUIREMENTS.....3 EQUIPMENT USE........3 CODE OF CONDUCT 3-4 GENERAL RULES.......4-5
More informationWEIGHT LOSS CHALLENGE: FACULTY AND STAFF. June 5th-August 2nd, 2018
WEIGHT LOSS CHALLENGE: FACULTY AND STAFF Program overview: June 5th-August 2nd, 2018 The Faculty and Staff Weight Loss Challenge is an 8-week (16 session) program running from June 5th-August 2nd that
More informationFitness Room Orientation
Fitness Room Orientation GUIDELINES & RULES Must be : a full-time regular Tarrant County employee a regular part-time Tarrant County employee a Tarrant County project employee an employee of the Tarrant
More informationCommunity Education. City State Zip Code. Term (please circle one) Summer 20 Fall 20 Winter 20 Spring 20
Student ID # 1651 Lexington Ave, Astoria, OR 97103 Community Education Today s Date: Bandit Community Fitness Bandit Community Fitness offers access to the College s weight room, cardio room and running
More informationFACILITY POLICIES. Purpose: To outline the policies in all Recreational Sports facilities. Scope: Patrons & staff. Policy:
FACILITY POLICIES Purpose: To outline the policies in all Recreational Sports facilities Scope: Patrons & staff Policy: I. GENERAL FACILITY POLICIES a. Violation of these policies or other violations of
More informationFitness Center Policies and Procedures
Fitness Center Policies and Procedures Access to Fitness Center and College ID A valid SUNY Adirondack ID with current sticker is required to gain access into the Fitness Center, NO EXCEPTIONS. Students
More informationCohen Good Life Center Employee/Volunteer Fitness Facility - Facility Guidelines -
1. ENROLLMENT PROCESS: 2. POLICY: Cohen Good Life Center Employee/Volunteer Fitness Facility - Facility Guidelines - a. Read and sign the Facility Guidelines form. b. Read and sign, along with your physician,
More informationCHARLESTON INTERNATIONAL AIRPORT 5500 INTERNATIONAL BLVD. #101 CHARLESTON, SC TELEPHONE: (843) FAX: (843) DIRECTIVE
CHARLESTON COUNTY AVIATION AUTHORITY CHARLESTON INTERNATIONAL AIRPORT 5500 INTERNATIONAL BLVD. #101 TELEPHONE: (843) 767-7000 FAX: (843) 760-3020 DIRECTIVE SUBJECT: EMPLOYEE USE OF AVIATION AUTHORITY FITNESS
More informationCASPER COLLEGE COURSE SYLLABUS PEAC Physical Fitness and Wellness III LECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1
SEMESTER/YEAR: Spring 2017 CASPER COLLEGE COURSE SYLLABUS PEAC 2003 01 Physical Fitness and Wellness III LECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1 CLASS TIME: TBA DAYS: MTWTHFS ROOM: Fitness Center
More informationMcMath Athletics. Athletic Coordinator. Kevin Carmona. Parents,
Parents, I would like to welcome you into or back to the McMath Tigers Athletics Program. As the school year approaches, your child will have many chances to have fun, learn and be successful in a variety
More informationEXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -
EXTERNAL TRAINER AGREEMENT THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - 2566588 Ontario Ltd. operating as Fortis Fitness West (2566588 Ontario Ltd. operating as Fortis
More informationEXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -
EXTERNAL TRAINER AGREEMENT THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - Fortis Fitness Inc. (Fortis Fitness Inc. or Fortis Fitness or the Companies ) This Agreement
More informationVisitors Tours and visitors not planning to use the facility must sign-in to visitor log and show proper identification.
Policies and Procedures The Department of Recreation and Wellness staff have the final say in rule interpretation and enforcement. Failure to comply with any of these rules may result in temporary or permanent
More informationGuidelines for Use of Turner Center Summary/Purpose: Turner Center:
The University of Mississippi Guidelines for Use of Turner Center Summary/Purpose: Guidelines and rules for use of the Turner Center and various activity areas within the facility. Turner Center: 1. All
More informationMEMBERSHIP RESPONSIBILITIES
- 1 - VILLAGE OF PORT ALICE WEIGHT ROOM & FITNESS CENTRE Congratulations on choosing to become a of the Village of Port Alice Weight Room & Fitness Centre! The benefits of being healthy / fit are numerous
More informationFitness Center Registration Form
Fitness Center Registration Form (Please print and return to the M&J Wilkow office, ste 1075.) Personal Info Date 18 yrs or older Sex Yes No Male Female First Name MI Last Email Address Work Phone Alt
More informationDeveloping a Policies and Procedures Manual
Developing a Policies and Procedures Manual Key Terms Policies a facility s rules and regulations; they reflect the goals and objectives of the program. Procedures describe how policies are met or carried
More informationMadonna University. Athletic Training Room Policies and Procedures
Madonna University Athletic Training Room Policies and Procedures Revised June 2016 Mission Statement The sports medicine staff strives to maintain the health and wellness of MU student-athletes through
More informationLinn-Benton Community College SPRING 2013 PE 185A: CIRCUIT WEIGHT TRAINING
Linn-Benton Community College SPRING 2013 PE 185A: CIRCUIT WEIGHT TRAINING INSTRUCTOR: Cindy Falk falkc@linnbenton.edu 541-917-4240 AC 111 AVAILABLE TIMES: 7 a.m. 8:50 a.m. MWF 12 p.m. 1:50 p.m. MWF 4
More informationWe look forward to seeing you here!
Dear Roadrunner Fitness Center Member: Welcome to Roadrunner Fitness! We would like to take this opportunity to thank you for choosing us as your place to exercise and improve your health. It is our goal
More informationOWNER S MANUAL and INSTALLATION INSTRUCTIONS
NP-L5003 Ab Crunch OWNER S MANUAL and INSTALLATION INSTRUCTIONS Leverage Ab Crunch Owner s Manual Copyright 2017. Core Health and Fitness, LLC. All rights reserved, including those to reproduce this book
More informationPhysical Readiness Questionnaire
Physical Readiness Questionnaire Date Customer Name Address City State Zip Date of Birth H Phone Cell Phone Email Sex: M F Height Weight How did you hear about this Cryo Sauna Location? FOR MINORS ONLY:
More informationCity of Tacoma Employee Wellness Centers
Employee Wellness Centers There are two onsite Employee Wellness Centers (EWCs) available to all City employees. These facilities were designed to be convenient and safe places for employees to improve
More informationDivision: Health & Kinesiology Course name: KINESIOLOGY 250 WEIGHT TRAINING SKILLS Section: 2375 / Semester: Spring 2016
Division: Health & Kinesiology Course name: KINESIOLOGY 250 WEIGHT TRAINING SKILLS Section: 2375 / Semester: Spring 2016 Instructor Name: Mr. Marguet Miller School Website: www.wlac.edu Class Hours: 9:35
More informationLinn-Benton Community College Winter 2017 PE 185A: CIRCUIT WEIGHT TRAINING -- CRNs: 32301, 32302
Linn-Benton Community College Winter 2017 PE 185A: CIRCUIT WEIGHT TRAINING -- CRNs: 32301, 32302 INSTRUCTOR: Cindy Falk falkc@linnbenton.edu 541-917-4240 AC 111 AVAILABLE TIMES: MWF 12 12:50 p.m. and 1:00
More informationLos Angeles Valley College Department of Kinesiology Syllabus KIN Aerobic Super Circuit
Instructor: Sandra Perry Email: Sandra Perry: perrysf@lavc.edu Fitness Center Location: South Gym room #200 Office Hours: Before/After class, in class or by appointment Fitness Center Phone: (818) 947-2888
More informationPHYSICAL EDUCATION III (Aerobics)
PHYSICAL EDUCATION III (Aerobics) Instructor: Ms. Bailey Room: Gym COURSE DESCRIPTION: PE III (Aerobics) PE III (Aerobics) is general course in physical education with fitness and wellness components.
More informationDepartment of Campus Recreation: SouthFit Personal Training
Steps to sign up Step 1: Choose the personal training package that you would like on page 2. Personal training is only available to members of the USA Student Recreation Center. Step 2: Fill out all pages
More informationrength_training.html
http://www.kidshealth.org/teen/food_fitness/exercise/st rength_training.html Strength Training Strength training is a vital part of a balanced exercise routine that includes aerobic activity and flexibility
More informationGreen High School. Sports Medicine Program. Student Aide. Handbook
Green High School Sports Medicine Program Student Aide Handbook The Green High School Sports Medicine Program is designed to introduce students to the athletic training profession. Athletic Trainer (AT)
More informationClass Location PECN 14 Class Meeting Hours 9:35am 11:35pm
KINESIOLOGY 250 WEST LOS ANGELES COLLEGE DEPARTMENT OF PHYSICAL EDUCATION Instructor Marlon Abrazado, M.S. Term Fall 2014 Email mabrazado@gmail.com Class Meeting Days Saturday Class Location PECN 14 Class
More informationJumpstart, Fitness Assessment, & Body Composition
Jumpstart, Fitness Assessment, & Body Composition Waiver, Release and Hold Harmless Agreement In consideration of permission granted by Purdue University allowing me to participate in Personal Training
More informationPolicies and Procedures
Policies and Procedures TAHH Policies and procedures The True Arena Hua Hin (TAHH) management has established a variety of policies and procedures to ensure the members and guests have a fun and safe experience
More informationPersonal Training Information Packet
Personal Training Information Packet Dubuque Community YMCA/YWCA 35 North Booth Street Dubuque, Iowa 52001 P 563.556.3371 F 563.556.2728 www.dubuquey.org Dear Member: Congratulations! You have just taken
More informationPersonal Training Initial Packet
Personal Training Initial Packet ****Please complete and return to the reception desk at least 2 days prior to your scheduled Fitness Assessment**** Name: D.O.B: Today s Date: Member or Non-member (circle
More informationWaiver, Release and Hold Harmless Agreement Personal Training Services
Waiver, Release and Hold Harmless Agreement Personal Training Services I,, the undersigned, affirm that I am participating voluntarily in Personal Training Services. (Print name) I (together with my parent
More informationSocorro ISD Physical Packet Student Athlete Information Sheet (Clearly Print all information in Black or Blue Ink only.)
Socorro ISD Physical Packet Student Athlete Information Sheet (Clearly Print all information in Black or Blue Ink only.) School ID #: Grade: Graduation Date: Name: M ( ) F ( ) Date of Birth: Age: Home
More informationUCSB Olympic Weightlifting Platform Area Specific Policies, Safety, and Liability Protocol
Patron Name: r Staff / Faculty r Community Member r Student Exp. Grad year UCSB Olympic Weightlifting Platform Area Specific Policies, Safety, and Liability Protocol Patron please initial each item: 1.
More informationFitness Association of the Patent & Trademark Office
Fitness Association of the Patent & Trademark Office Fitness Center Membership Application (Please complete this form in entirety.) Full Name: Email: Date of Birth: Gender: Contact Number: Office Extension:
More informationFORMS 1) PAR Q & YOU:
Personal Training New Client Registration Congratulations on taking the first step to healthier and better you! The certified trainers are screened by the Vanderbilt Recreation & Wellness Center (the Rec)
More informationYouth Fitness Program
Youth Fitness Program Teaching kids to be strong inside and out I m on a mission. I believe in the power to transform our bodies, our minds and our lives by developing simple, healthy habits. As adults,
More informationMembership Policies and Procedures
Membership Policies and Procedures Congratulations on your commitment to a healthier lifestyle. We would like to take this opportunity to emphasize specific policies and procedures to insure the integrity
More informationCWA SPONSORED FUNCTION
CWA SPONSORED FUNCTION REGISTRATION AND PERMISSION FORM AND RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT.... REGISTRATION PLEASE PRINT AND COMPLETE EACH ITEM IN FULL Registrant s Name: (separate
More informationPersonal Training Registration Packet
Registration Packet Client name: Sessions Purchased: 3 Sessions 30 Minutes 60 Minutes 5 Sessions 10 Sessions 15 Sessions Purchase Date: General and Healthy History Questionnaire Name: Penn ID: Date of
More informationPersonal Training Initial Packet
Personal Training Initial Packet ****Please complete and return to the reception desk at least 2 days prior to your scheduled Fitness Assessment**** Name: D.O.B: Today s Date: Member or Non-member (circle
More informationLECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1. CLASS TIME: TBA DAYS: MTWTHFS ROOM: Fitness Center 163
CASPER COLLEGE COURSE SYLLABUS PEAC 2002 Physical Fitness and Wellness II SEMESTER/YEAR: Spring 2015 LECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1 CLASS TIME: TBA DAYS: MTWTHFS ROOM: Fitness Center 163
More informationKairos 79 November (Seniors) Kairos 80 February19-22 (Seniors)
Kairos Retreats 2017-2018 There are 40 spaces available on each retreat, 20 for girls and 20 for boys. Don t delay! Sign up for the Kairos of your choice now! Kairos 79 November 19-22 (Seniors) Kairos
More informationM H S WEIGHTROOM MANUAL
M H S WEIGHTROOM MANUAL CONTENTS Training Philosophy At MARBURY HIGH SCHOOL, we strive to create a positive training environment that will give each participant the very best opportunity to become better
More informationWelcome to the CANYON WELLNESS PROGRAM!
Welcome to the CANYON WELLNESS PROGRAM! This program is designed to allow you to continue/initiate the pursuit of your health/wellness goals. You may have just completed a course of Physical Therapy or
More informationTown of West Seneca Youth Engaged in Service New Volunteer Orientation Guide
Town of West Seneca Youth Engaged in Service New Volunteer Orientation Guide Important Information: Youth & Recreation Department Office Phone Number: 674-6086 Program Email: wsyes@twsny.org Program Information
More informationFRA 105 Weight Training Spring 2018
FRA 105 Weight Training Spring 2018 Course Time: Course Location: Instructor: Office: Office Hours: E-mail: MW 11:00-11:50 Whitley Gym 136 Dr. Vipa Bernhardt Field House 006 By appointment Vipa.Bernhardt@tamuc.edu
More informationTHE FITNESS CENTER AT KERNERSVILLE
ABOUT US THE FITNESS CENTER AT KERNERSVILLE We are proudly owned and operated by Wake Forest Baptist Health High Point Medical Center. Our state of the art facility offers a wide range of amenities allowing
More informationJackson s Gym Offerings & Conditions
Offerings & Conditions Welcome to the Jackson s Gym Fitness Facility! This wonderful amenity is for Aspen Properties tenants. We are thrilled to support the health and well-being of our tenants. Aspen
More information2018/19 The Rock Youth Center Registration Packet. Instructions
2018/19 The Rock Youth Center Registration Packet Instructions Please review all pages of this document carefully. Your signature on pages 3,6 and 8 will verify that you have read the rules and guidelines
More informationCompleted applications can be submitted either by mail or to:
Dear Sir or Madam: Thank you for your interest in the Feldenkrais Foundation s Low Fee Clinic. This popular clinic provides individual Feldenkrais Functional Integration sessions at a reduced rate for
More informationJackson s Gym Offerings & Conditions
Offerings & Conditions Welcome to the Jackson s Gym Fitness Facility! This wonderful amenity is for the exclusive use of Aspen Properties tenants. We are thrilled to support the health and well-being of
More informationMEDICAL CLEARANCE FOR ATHLETIC TRYOUTS
MEDICAL CLEARANCE FOR ATHLETIC TRYOUTS "Tryouts" are individuals whose athletic skills are being evaluated by the coaching staff. BEFORE YOU TRY OUT: A general physical examination by a physician is required.
More informationWEST LOS ANGELES COLLEGE Kinesiology 326 Spring 2015
WEST LOS ANGELES COLLEGE Kinesiology 326 Spring 2015 AEROBIC SUPER CIRCUIT LAB (UC:CSU) 1.00 Unit Instructor: Mr. Marguet Miller Phone: 310-287-4453 Office: C-1 Building Office Hours: M-W 9:00 am-10:30
More informationDivision: Course name: Section: / Semester: Instructor Name: School Website: Class Hours: Address: Location: Office Hours:
Division: Health & Kinesiology Course name: KINESIOLOGY Athletics 553-INTERCOLLEGIATE FOOTBALL-FITNESS & SKILLS TRAINING Section: 2289 / Semester: Spring 2016 Instructor Name: Mr. Marguet Miller School
More informationSports Medicine Policy and Procedures Try-Out Checklist
Try-Out Checklist WHAT MEDICAL INFORMATION DO I NEED TO PROVIDE BEFORE TRYING OUT FOR AN ATHLETIC TEAM AT THE UNIVERSITY OF CONNECTICUT? The NCAA requires you to have a note signed by a licensed medical
More informationLos Angeles Valley College Department of Kinesiology Kin Aerobic Super Circuit. Location: South Gym room 200 Office: South Gym 5
Los Angeles Valley College Department of Kinesiology Kin 326-2 Aerobic Super Circuit Instructor: Sandra Perry Email: perrysf@lavc.ed Location: South Gym room 200 Office: South Gym 5 Day: T/TH 11:20-12:45
More informationCleburne ISD Middle School Athletic Policies
Cleburne ISD Middle School Athletic Policies Welcome to Cleburne Middle School Athletics! The coaching staff would like to thank you for allowing us to work with your athlete this year. Please take time
More informationVolunteer Physical Ability Procedures
Physical Ability Procedures You must present valid photo identification and sign a number of forms before taking the Physical Ability Test. Prior to your scheduled Physical Ability Test, you are required
More informationNAME DATE OF BIRTH. Name ADDRESS EMERGENCY CONTACT. Phone. Mobile. Name PHONE DOCTOR INTRO CSE: MAIN STREAM:
PERSONAL DETAILS (Please print clearly ) INTRODUCTION CSE: 2019 NAME DATE OF BIRTH ADDRESS EMERGENCY CONTACT Name Phone Mobile Name PHONE DOCTOR Landline Phone EMAIL START DATE INTRO CSE: MAIN STREAM:
More informationMEMBERSHIP APPLICATION
MEMBERSHIP APPLICATION Join Date: Full Pay Draft 20/20 Membership Type: Household One Parent Household Two Adult Household Senior Household Adult Young Adult Youth Senior First Name MI Last Birth Date
More informationPurpose: To inform all employees of the guidelines regarding the correct use of the Employee Gym.
Title: Gym Usage Policy Purpose: To inform all employees of the guidelines regarding the correct use of the Employee Gym. Scope: This policy applies to all employees who have use of the gym facility in
More informationSafford High School. Athletic Training Center. Parent Handbook
Athletic Training Center Parent Handbook Dear Parent/Guardian of Student-Athletes, I am Renee Williams, SHS s athletic trainer. Unless you have been involved in organized athletics at the high school,
More informationASTHMA OR ANAPHYLAXIS MEDICAL MANAGEMENT PLAN I. CONTACT AND PLAN INFORMATION
Plan For (Student) Dated: ASTHMA OR ANAPHYLAXIS MEDICAL MANAGEMENT PLAN I. CONTACT AND PLAN INFORMATION Student s Name: Date of Birth: / / (Month) (Day) (Year) Health Condition: Asthma Anaphylaxis (For
More informationWashington County-Johnson City Health Department Christen Minnick, MPH, Director 219 Princeton Road Johnson City, Tennessee Phone:
Washington County-Johnson City Health Department Christen Minnick, MPH, Director 219 Princeton Road Johnson City, Tennessee 37601 Phone: 423-975-2200 Dear Parent: The Washington County Health Department
More informationPersonal Training Program Information and Policies
Personal Training Program Information and Policies Welcome to the Student Recreation Center s (SRC) Personal Training Program! We are delighted that you chose us as a part of your commitment to health
More informationFayetteville Technical Community College FITNESS CENTER HANDBOOK
FITNESS CENTER HANDBOOK Current Version Originally Published Fall 2009 Last Revised: October 26, 2012 Proponents: Fitness Center Coordinator Dean of Engineering, Public Service, and Applied Technology
More informationUniversity of Louisville. Department of Intramural and Recreational Sports. Facility User Guide
University of Louisville Department of Intramural and Recreational Sports Facility User Guide Swain Student Activities Center, Cardinal Corner Game Room, Humana Gym, HSC Fitness Center Policies, guidelines
More informationAngela Alcain. June 11, Dear Parent/Guardian:
Eddie Scott Principal Andrew Karnes Resident Principal Dr. Rose Dixon Daisy Nichols Cynthia Thomas Kim Watson IB DP Coordinator Tiyonna Hill IB MYP Coordinator Dr. Kisha Dorch P- Tech Coordinator Dr. Olayemi
More informationThank you for inquiring about our Shelly Aquatic Center at Brethren Village. We hope you will find the enclosed information helpful.
Thank you for inquiring about our Shelly Aquatic Center at Brethren Village. We hope you will find the enclosed information helpful. Non-Resident Enrollment Policy for use of Pool Non-Resident packet includes:
More informationCONCUSSION POLICY AND PROCEDURES
NORTHEAST METROPOLITAN REGIONAL VOCATIONAL SCHOOL 100 HEMLOCK ROAD WAKEFIELD, MA 01880 CONCUSSION POLICY AND PROCEDURES 1/2016 12/2017 Reviewed by Committee Members: David DiBarri Deputy Director- Principal
More informationCity of Norwalk Recreation Department. Concussion Guidelines for Youth Athletics
City of Norwalk Recreation Department Concussion Guidelines for Youth Athletics I. INTRODUCTION. In recognition of the dangers posed to youth athletes as a result of sports related head injuries, the City
More informationAccommodations Request Severe Allergies Cover Sheet
Accommodations Request Severe Allergies Cover Sheet Child s Name: School Number: Director Name: School Phone #: Prospective Enrollment Date parent/guardian would like child to begin: Child Currently Enrolled
More informationP: F: balance. Some exercise equipment will be used such as treadmills, NuSteps and resistance devices.
The Burke Rehabilitation Hospital recognizes the need to stay physically fit at all ages and functional levels. The Fit 4 Life After Stroke exercise program provides an exercise setting for people who
More informationP: F: Session Information Sessions are held quarterly, registration is ongoing. Monday, Wednesday 2:00PM 3:00PM
The Burke Rehabilitation Hospital recognizes the need to stay physically fit at all ages and functional levels. The Fit 4 Life After Stroke exercise program provides an exercise setting for people who
More informationRecovery and Wellness through Cryotherapy Egan Drive* Suite 191* Savage, MN 55378* *cryostrong.com. Physical Readiness Questionnaire
CRYOSTRONG WHOLE BODY CRYOTHERAPY Recovery and Wellness through Cryotherapy 6001 Egan Drive* Suite 191* Savage, MN 55378*952-220-2997*cryostrong.com Physical Readiness Questionnaire Date: Customer Name:
More informationPAR-Q & LIABILITY WAIVER
PAR-Q & LIABILITY WAIVER Full name: Address: Post code: Mobile: Home phone: Email address: Date of Birth: Occupation: Emergency contact name: Relationship to you: Emergency contact phone number: Tara Blackaby
More informationSPRING SEMESTER 2016 Kin. 326, Sec :25-7:50 am; MW; 1 unit; PEC-104
SPRING SEMESTER 2016 Kin. 326, Sec.2544 6:25-7:50 am; MW; 1 unit; PEC-104 Colleen Matsuhara, instructor Email: matsuhc@wlac.edu Office: PEC-South, room 132 Office phone: 310-287-4591 Course Description
More informationEvans Middle School Practice Procedures for High Heat and Humidity
Evans Middle School Practice Procedures for High Heat and Humidity The Coweta County School System and Evans Middle School are concerned about the health and safety of all student athletes. In accordance
More informationCity State Zip. Home Phone Mobile Phone. Can we text you appointment reminders? Yes / No If yes, who is your wireless carrier?
CryoBoost Lubbock 5206 82 nd St., Suite 15 (inside Austin Chiropractic) CryoBoost Allen 801 S Greenville Ave., Suite 115 (inside Wellness) Physical Readiness Questionnaire Name Date Address City State
More informationAthlete Consent Form:
Athlete Consent Form: Athlete Name: Prog Ref Code: P I hereby acknowledge that certain risks of injury are inherent to participation in recreational activities, sporting activities and lessons on and associated
More informationSelectTech 4.1 Bench Assembly / Owner s Manual
SelectTech 4.1 Bench Assembly / Owner s Manual This product is compliant with the applicable CE requirements. Table of Contents Important Safety Instructions...3 Safety Warning Labels and Serial Number...4
More informationFor MWC Staff: Personal Information: Emergency Contact:
Masonic Wellness Center and Pool Member Application 361-5699 or ext. 33783 on campus Personal Information: Name: (Mr., Mrs., Ms.) (First) (Last) (MI) Birth Date: Phone: (H): (W): Address: E-mail Address
More informationIMPORTANT DATES AYBA 2018 Season
IMPORTANT DATES AYBA 2018 Season Walk In Registration / Uniform Fitting Euchre/Bowling Fundraiser Mail-In Registration January 10-11, 23 rd 6:30-8:30 p.m. @ Hideaway Lanes January 27 th Due by March 12
More informationThe University of Michigan
Tryout Directions and Information: The University of Michigan This packet contains the following forms that must be completed before your tryout can begin: Tryout clearance form You only need to fill out
More informationGym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band.
Gym Memberships Membership Form Name: Address: Membership Start Date: Payment Details The cost of the membership is 18.50 per month, plus a one off cost of 5 for the band. This Payment should be made either
More informationAdministration of Medication
Administration of Medication Prescribed medications must arrive in a container with the original, unaltered prescription label attached. The label must display all legal information required for a pharmacist
More informationLIFEGUARDING CERTIFICATION CLASS
LIFEGUARDING CERTIFICATION CLASS Saturday April 5th 3pm-4:30pm Will be doing the Skill Test Only, Upon completion payment will be due on April 7 th. Monday April 7th 5:30pm-7pm Tuesday April 8th 5:30pm-9pm
More informationRelease & Waiver Synergy Studio
Release & Waiver Synergy Studio I,, have enrolled in a program of physical activity, including but not limited to, body conditioning machinery used during the workouts offered by Synergy Studio. I affirm
More informationBILL TO: Comprehensive Health Services, Inc Parkridge Blvd, Suite 200 Reston, VA (703) or (800)
DHS FITNESS TESTING INSTRUCTIONS NOTE: Failure to comply with these instructions will result in a delay of the candidate s application process and may ultimately deter payment to your facility. 1.) 2.)
More information