– All members or users who have been identified (either through pre-activity screening or
by self-disclosure) as having cardiovascular, metabolic, or pulmonary disease or symptoms or
any other potentially serious medical concern (e.g., orthopedic problems) and who subsequently
fail to consult with a qualified healthcare professional, should be permitted to sign a waiver or
release that allows them to participate in a facility’s program offerings. In those situations where
such members or users refuse to sign a waiver or release, they should be excluded from
participation to the extent permitted by law.

Comment - This bullet is unrelated to providing a safe health/fitness facility
environment. The level of safety provided by a health/facility is unaffected by a member/user’s decision to sign a medical waiver or not.

Recommendation - This bullet should be deleted from this section and either eliminated from the Standard or re-inserted as a guideline for risk management.

Dear Mr. Richards,

Thank you for reviewing the document and providing comments. A response to your comments is provided in the attached letter.

I hope the attached addresses your concerns. If you wish to change your vote, please contact Lorna Badman, Secretariat, by May 2, 2011 or sooner. If we do not hear from you by that date, we will presume you wish to maintain your negative vote and your issue was not resolved. If you have additional comments, or wish to discuss these points further, please contact me directly.

Thank you again for your thorough review.

Sincerely,

Walter Thompson