Online Ufit Interest Form

* denotes a required field

Physical Activity Readiness (PAR-Q)

Goal Setting Questionnaire

Please select which day(s) of the week you prefer NOT/are NOT able to workout: *

UFit Program

UFit Program

Acknowledgment of Risk, and Release of Liability

Purpose:  The purpose of your UFit program is to assist you in establishing/increasing/maintaining positive exercise behaviors as well as improving health-related physical fitness.  Your individual exercise program will be designed based on your interests, current self-reported fitness level, and the exercise equipment you have available.

Acknowledgment of Risk and Release of Liability: I hereby declare, assert, and affirm that my participation in the Grand Valley State University Recreation and Wellness UFit program, is done having voluntarily and knowingly assumed all risks involved in this event. The immediate physical risk(s) associated are those correlated with normal, vigorous physical activity. These risks include, but are not limited to, bodily discomfort and fatigue, muscular soreness, pulled or strained muscles, overuse injuries/soft tissue damage, bodily injury resulting from falls, and the rare instance of abnormal changes/responses of the cardiopulmonary system to exercise. Adverse responses include abnormal blood pressure, heart arrhythmias, and the very rare instance of heart attack, stroke, or sudden death.  Before starting any fitness program, you should consult your physician or other health care professional to determine if it is right for your needs.

In consideration of acceptance of this contract allowing my participation in the above stated program and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators, and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages, equipment, facilities, staff training, or losses that I may incur involved in the above stated Recreation & Wellness program, specifically Grand Valley State University, its respective employees, agents, representatives, successors, and assigns for any and all activities connected with the above stated program. If I am a Grand Valley employee (faculty or staff member), I also understand that I do hereby WAIVE any and all rights or benefits under the State of Michigan Worker’s Compensation laws for any injury incurred as a result of my participation in this event.

Research & Data Use: I hereby authorize Recreation and Wellness, Grand Valley State University and their respective agents to release information obtained during this activity for the purpose(s) of programmatic and research needs as well as for aggregate data supplemental research, articles and presentations.

Acknowledgement of Understanding *

Page last modified May 7, 2020