Release of Liability:
I waive, release and forever discharge Spencer Psychology and its staff from any and all responsibility and/or liability for any injuries or damages resulting from participation in walking counseling sessions. I accept any risk associated with exercise and voluntarily participate in these sessions.
Health Status Affirmation:
I declare myself to be physically sound and suffering from no condition, impairment or infirmity that would prevent my participation. I acknowledge that I have been told to ask my doctor if walking for at least 45-60 minutes and possibly longer, without a break is acceptable for my health status.
If the participant is under 18, the legal guardian must sign this form.