身体健康状况切结书-元智大学体育室.docVIP

PE-CP-04-CF01(1.1版)/103.07.18制定 身體健康切結書 YZU Fitness Center 立切結書人_________________身體健康良好，無下列疾病情形：包括心血管疾病、腦部疾病、呼吸疾病、皮膚性疾病、內臟疾病、代謝性疾病及運動功能疾病等，若發生純屬本身健康、安全、意外事件，願自行負責。 I, ____________________________, declare that I am in good health condition. I do not have cardio-vascular, cerebral-vascular, respiratory, skin, visceral, metabolic diseases or motion disorder. I understand that pregnant woman or anyone with heart disease, diabetes, high or low blood pressure, epilepsy, or asthma requires the permission of a medical doctor and a family members companion to enter the Fitness Center. I would