Gymnanigans LIVE GoldenAgers Sit LIIT
Hosted by
Gymnanigans Boxing Fitness
1409 Georgia St.
Vallejo, Ca 94590
(707) 310-0863

Class: Thursdays, 11am (please check class announcement prior to class

*Once form is completed you will receive a link to class to be used for every class

Location: LIVE ONLINE via Zoom

Gymnanigans LIVE GoldenAgers Sit LIIT class is a low intensity interval class using body weight and light dumbbells. The Senior Fitness class last 20-30min and incorporate light cardio activity, strength-building and balance exercises, and plenty of toning and stretching. The class is designed primarily for “mature folks”, who may be a little more cautious when it comes to physical exercise, but still want to get a good work out.

Donna Medina, your fitness leader for the LIVE GoldenAgers Sit LIIT, I want to make sure that you approach exercise as safely as possible, hence the two parts to this form.

1. PAR-Q:

This form acts as a PAR-Q (Physical Activity Readiness Questionnaire) that will help determine whether or not it's safe for you to begin a new exercise program. Please answer the following questions honestly, and provide as much detail as possible where applicable.


It's important that you understand that physical exercise, even Gymnanigans BoxHIIT online live group class, can be strenuous and subject to risk of serious injury. You are urged to obtain a physical examination from a doctor before participating in any exercise activity, including those provided by Donna Medina.

You agree that if you engage in any physical exercise or activity, you do so entirely at your own risk. This waiver and release of liability includes, without limitation, all injuries which may occur as a result of: (a) your participation in any activity or participation in any exercise routine and (b) instruction, training, supervision, or dietary recommendations by Donna Medina.

You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge Donna Medina from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against Donna Medina for personal injury or property damage. By signing this release, you acknowledge and understand its content and that this release cannot be modified orally.

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