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In order to prevent any possible injury to our clients, we ask that you please check the following list of 15 questions. You must be able to answer a definite “NO” to all the questions; otherwise, personal injury could result in use of our Whole Body Vibration Machine. If any answer is a yes or maybe, you must consult your physician before using our equipment. 1. Do you suffer acute joint problems such as arthritis or acute rheumatoid arthritis? 2. Do you have acute inflammations or infections? 3. Are you an epileptic? 4. Do you have gallstones or kidney stones? 5. Do you have joint implants such as foot, knee and hip implants? 6. Do you suffer from serious cardiovascular disease? 7. Do you have heart valve disorders / heartbeat irregularities? 8. Do you have metallic or synthetic implants such as a pacemaker or IUD? 9. Did you have a recent thrombosis or possible thrombotic disorders? 10. Do you have serious back problems such as a herniated disk, discopathy, spondylolysis? 11. Do you have any tumors? 12. Do you have recent (operative) wounds? 13. Do you have recent inflammations? 14. Are you pregnant? 15. Do you suffer from intense migraines? By becoming a member of the Style for Life Personal Fitness Club and by using our equipment, you agree that you have been advised and fully informed concerning vibration technology sufficiently notified of all the risks associated with Whole Body Vibration. You hereby relieve and hold Style For Life, Inc. your trainer and all affiliates harmless from all liability for injury or damage that may occur to you. You further warrant: (1) You have read, understand and fully agree to the foregoing consent, (2) The proposed vibration technology session has been satisfactorily explained to me and you have read all the information you desire and (3) Have fully disclosed any potential medical contraindications and are not now pregnant or trying to become pregnant, (4) You declare by initialing below, having read this page that you can give a definite NO to all the above questions listed above.
Please verify your acceptance of health statement
by your placing your initials in box.
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