Feelin' Fit Wellness Program
If you wish to join the Feelin’ Fit Wellness Program you will need to complete 3 forms:
1. Registration Form
Please be sure to include your primary care physician’s name and phone number. Many of you see several physicians; your family physician will probably be the best person to okay your new exercise program. We also ask for two emergency contacts and phone numbers. Please consider the time of day you will be most likely to work out, and select people available at that time, with the appropriate phone numbers. Your signature is required in four places:
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Waiver and Informed Consent - As with any activity, there are risks associated with exercise. Please read these paragraphs on your registration form before you sign.
Acknowledgement of Dues - We require that you notify us in writing if you decide to terminate your membership. Failure to use the facility does not cancel your dues obligation.
Personal Information Release - We periodically print a directory of members with phone numbers and addresses for distribution among members only. If you would like to be included in this list, please sign this form. Your personal information will not be released without your approval.
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2. Physician’s Clearance Form
We require your physician’s approval for you to participate in our exercise program. It is not usually necessary to make an appointment to obtain this approval. If you will fill out the form and sign it, we will fax it to your doctor. Unless you have not seen your doctor recently, or have a limiting physical condition, most physicians are happy to authorize your exercise program.
3. Health History
Information on your health status, medications and allergies is provided to an emergency medical team in the event that you had a health event while exercising. If you wish to bring a list of your medications, we can copy it and attach it to the health history to save you some writing time.
Return these 3 forms to the Wellness Office and we will fax the Physician’s Release Form to your Doctor. When it is returned, we will notify you that you are cleared to participate in our program. We will determine your starting date and first month’s dues and set an appointment for you to receive an orientation on the pool and/or gym equipment if necessary.
We appreciate your cooperation and encourage your questions and feedback. Please feel free to call 979-821-7558 if you need additional information.
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