I have voluntarily enrolled in an exercise class provided by FOX Rehabilitation™. This exercise class is designed as a general exercise class, and is not rehabilitation. I understand that participation in this program may be associated with certain risks, including but not limited to muscle soreness, high blood pressure, dizziness, loss of balance, falls, bone fractures, or other injuries. To the best of my knowledge I do not have any medical conditions that would prevent me from participating in this exercise program. I assume all risks and responsibilities from any injury that may result from participation in this program. I will immediately inform a health care professional if I experience any unusual symptoms while participating in this program. I also agree to hold harmless FOX Rehabilitation Services PC and all related entities for any and all damages or injuries that may result from my participation in this program.