Assumption of Risk & Liability Release

Before we begin your training, we need you to read and sign this waiver. It covers the risks inherent in physical exercise, your responsibility to disclose relevant medical history, and your acknowledgment that training carries a real chance of injury. Please read carefully and ask questions before signing.

Participant Information

Full legal name:

Date of birth:

Mobile phone:

Email:

Emergency Contact

Contact name:

Relationship:

Contact phone:

Medical Declaration

Please disclose any of the following that apply to you:

Heart condition or chest pain during activity

High / low blood pressure

Diabetes

Asthma or respiratory condition

Recent surgery or injury (past 12 months)

Pregnancy

Chronic joint, back, or muscle issues

None of the above — I am in good general health

Please describe any conditions, medications, or prior injuries we should be aware of:

Assumption of Risk

Please read and acknowledge each statement:

I understand that exercise involves inherent risks including muscle strains, joint injuries, falls, cardiovascular events, and in rare cases more serious injury or death.

I confirm that the medical information I have provided is accurate and complete.

I have consulted a physician about beginning exercise if I have any of the conditions listed above.

I agree to inform my trainer immediately of any pain, dizziness, or discomfort during sessions.

Release of Liability

I voluntarily assume all risks associated with my participation in training and release the trainer and facility from claims arising from ordinary negligence, to the fullest extent permitted by local law.

I understand this release does not waive liability for gross negligence or willful misconduct by the trainer or facility.

Photo / Video Release (optional)

I consent to being photographed or filmed during sessions for social media or promotional use

I do not consent to photography or video (I'll still train — just no images)

Signature

Authorized representative — printed name:

Tap to sign

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Signed date:

Signer — printed name: