I acknowledge that I am participating in this JMU Dance for Parkinson’s Program (“Program”) voluntarily, that I must take responsibility for my own health, and that this Program can contribute to my overall health and well-being. I understand the program provides no medical supervision. I understand the importance of receiving physician approval for exercising prior to engaging in exercise activities like those in the Program and will not participate in the Program unless I am healthy enough to do so. I understand there are some risks involved in participating in the Program including, but not limited to, injuries to my limbs (such as strain, sprains, and broken bones,) fainting, lightheadedness, dizziness, shortness of breath, heat illness, irregular heart-beat, and in some rare cases, cardiac arrest, heart attack, or death. I agree that if at any point, my health or safety are put at risk by continuing to participate in the Program, I will withdraw and end my participation until it safe for me to resume said participation. Acknowledging the above, I wish to assume the risks presented and participate in the Program. *
