PERSONAL TRAINING WAIVER

PERSONAL TRAINING WAIVER
CLIENT CONTACT INFORMATION
Name

First NameLast Name
Age
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Weight
Height
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name
Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
INFORMED CONSENT & LIABILITY RELEASE
In consideration of my/my child’s participation in the personal training activities, I, (Name) blanks and/or on behalf of my child, if applicable, who is a minor under the age of 18 (Child's Name) blank AGREE AS FOLLOWS:
I understand that the personal training physical fitness activity and exercises will take place in the local Venice Stoneybook gym or swimming pool, out in the tropical landscape of Florida, and/or on our Sarasota County beaches and oceans of paradise, which are all NOT owned, operated, supervised, or controlled by Paradise FitSurf.

I further acknowledge that the physical fitness activities and exercises that I will be participating in can create reactions within the heart, lungs, blood vessel systems, muscular system, and skeletal system which cannot always be predicted with accuracy, especially within the contexts of the the above listed varied fitness environments. I acknowledge that there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. I also understand that the use of weight lifting equipment and engaging in body resistance exercises may lead to musculoskeletal strains, pain, and injury if proper teaching technique, warm-up, and progression is not followed. These physical fitness activities carry an inherent risk of bodily injury, including, in extreme cases, loss of life due to personal health issues, environment exercise context, and equipment.

I agree to indemnify, defend, hold harmless and release from all liability Paradise FitSurf personal trainers, owners, Stoneybrook Home Owners Association, Sarasota County, and the state of Florida from ALL LIABILITY to myself or my child, my family, heirs, assigns, personal representatives or next of kin for ANY LOSS OR DAMAGE RESULTING FROM PHYSICAL OR MENTAL INJURY, DEATH OR PROPERTY DAMAGE arising from my/my child’s participation in this personal training physical fitness activity.

I FURTHER AGREE THAT:

- I / my child am/is in good health and has been cleared by a physician to engage in this personal training physical fitness activity.

- Photos taken may be used for promotional purposes.

I HAVE READ AND UNDERSTAND this “Acknowledgment of Risks and Release, Waiver of Liability and Indemnity Agreement” and have signed this Acknowledgment of Risks and Release, Waiver of Liability and Indemnity voluntarily, and agree that no oral representation, agreements, or inducements, apart from the foregoing written agreement have been made.
Signature/Parental Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Should be Empty:

PERSONAL TRAINING WAIVER

CLIENT CONTACT INFORMATION

INFORMED CONSENT & LIABILITY RELEASE