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Health Assessment & Waiver

All of our personal training clients are required to fill out our Health Assessment & Waiver.  

We use this information to ensure we build and effective and safe training program for you

We will not share this information with any third parties.  Your answers are confidential.  

If you have questions about our Privacy Policy, you can follow the link below.

Please indicate any chronic or ongoing issues you have.
Are you currently under a doctor's care for a specific medical condition?
Yes
No

Explination of Services


Tatsu Dojo LLC provides personal training services which may include:


  •  Orthopedic Assessment, Gait Assessment, Joint Mobility and Strength Testing

  •  Exercises for the purpose of strengthening, increased mobility/flexibility or balance

  •  Gait training for improved mobility or athletic performance

  •  Improved cardiovascular fitness

  •  Assisted stretching


During your initial assessment, we may deem it necessary to refer you to your primary care provider for further evaluation if we feel your condition or issue is beyond our scope of services or if we uncover a problem or situation that we feel needs further medical attention.

Acknowledgement of Waiver


The information I have provided is accurate and complete.  I release, waive, discharge and covenant not to sue, and release The Tatsu Dojo LLC, their officers, instructors, personnel or owners, next of kin and any heirs from all liability.  I further release The Tatsu Dojo LLC, their officers, instructors, personnel or owners, next of kin and any heirs from any all claims, demands, losses and damages which may be sustained and suffered on the account of injury including death, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise.

Date
Month
Day
Year

Tatsu Dojo Martial Arts And Fitness
513-600-2260

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