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Activity tool 4. Physical activities: Participant's waiver

Many organizations use an informed consent form for participants in their active living programs. It is recommended as part of a physical activity program registration procedure. At the first session or at a pre-exercise meeting of a new physical activity group, have participants:

  1. Read the form.
  2. Complete the form.
  3. Sign their name in the space provided.
  4. Fill in their doctor’s name.
  5. Complete the emergency information.
Informed consent form

The participant’s informed consent form is available as an 81 kb PDF file.

Read about PDF files and printing from this website.


Active Independent Aging was a joint venture between the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. For more information please visit our website at: www.falls-chutes.com. Funding provided by Health Canada/Veterans Affairs Canada Falls Prevention Initiative. The views expressed herein do not necessarily represent the official policies of Health Canada, Veterans Affairs Canada, the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. The information in this handout is current as of 2004.

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Last modified May 19, 2004