Fit in 30 Studio

Waiver & Release Form


Basic Information

Name:  

Gender:  

Birthday:  

Email:  

Cell Phone:  

What is the best way to contact you for schedule changes? 

Address:  

Emergency Contact:  

Emergency Contact Phone:  

 

Fitness Goals

 

Height:  

Weight:  

Restrictions:  

 

Health History

Surgeries:  

Other:  

 

Physical Activity Readiness Questionnaire (PAR-Q)

 

Waiver and Release Form

Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from your doctor before using any exercise equipment or training activities, you do so entirely at your own risk.  Any recommendation for changes in diet including the use of food supplements, weight reduction and or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes.  You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risk of injury, illness, or death. We are also not responsible for any loss of your personal property. 

You acknowledge that you have carefully read this “waiver and release” and fully understand that is a release of liability.  You expressly agree to release and discharge the trainer or instructor from any and all claims or cause of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or project damage. 

To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. 

If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remained of this release from liability shall remain in full force and effect and the offending provision or provisions severed here.  

By signing this release from liability, I acknowledge that I understand its content and that this release cannot be modified orally.

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Document name: Waiver & Release Form
lock iconUnique Document ID: 7087170110c4b83f36ac4da62c48102a70b4cbe0
Timestamp Audit
March 7, 2019 6:45 pm EDTWaiver & Release Form Uploaded by Sloane Hutson - [email protected] IP 24.127.51.250