Orangetheory Client Intake V-2.0
  • Format: (000) 000-0000.
  • FITNESS & WELLNESS INFORMATION

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  • FITNESS & WELLNESS INFORMATION

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  • MOTIVATION - WHAT MOTIVATES YOU?

  • Think of something beyond "lose weight, get stronger and be healthier".

    This is more like
    "I want to get fit to go on my trip to Coasta Rica"
    or
    "I want to 
    fitfeeland look better in my swimsuit."
    or
    "I want to get fit to live longer and spend more time with my grandchildren."
    or
    "I want to be stronger
    to and be in better cardio health to enjoy longer mountain bike rides"

  • Assumption of Risk, Release, Waiver of Liability, and Indemnification

  • Use of Personal Information, Image, Likeness, and/or Voice:
    We may photograph, record on audio or video, or otherwise record OTF classes or client use of the Studio. In exchange for your use of the Studio or your participation in any OTF class, you understand, acknowledge, and agree that you may be photographed, recorded on audio or video, or otherwise recorded while at the Studio, and hereby agree and consent for all purposes to the sale, reproduction, and/or use in any manner of any such photograph, audio, video, or other recording or depiction of your likeness and/or voice whatsoever by us, any OTF studio, UFG, the UFG Parties (defined below), and any nominee or designee of us or them, including without limitation any agency, client, periodical or other publication, in all forms of media, whether now or hereafter devised, throughout the world and in perpetuity, and in all manners, including without limitation advertising, trade, display, editorial, art and exhibition. You further understand and agree that any such photograph, audio, video, or other recording or depiction of your likeness and/or voice may be modified, altered, cropped and combined with other content such as images, video, audio, text and graphics, and hereby waive any right that you may have to inspect or approve any finished image, video, or audio containing a depiction of your likeness or voice. You further agree that the Studio, any other OTF studio, UFG, and/or the UFG Parties (defined below), may use any information gathered in this form or through your use of the Studio or participation in any OTF class, provided the information does not personally identify you or provide facts that could lead to your identification, for any purpose, including without limitation research, product and program improvements, and statistical purposes. You agree to hold harmless and indemnify the Studio, any other OTF studio, UFG, and the UFG Parties (defined below), from and against any and all liability, damage, loss and/or claims of any kind or nature whatsoever, including, without limitation, any and all claims and demands relating to libel, invasion of privacy, and violation of publicity rights.

  • Assumption of Risk, Release, Waiver of Liability, and Indemnification:

    We urge you and all clients to obtain a physical examination from a physician prior to initiating any exercise program. Orangetheory® Fitness (“OTF”) classes are not designed for individuals with known heart disease with or without functional impairment.  You understand and agree that there is a risk of injury associated with participation in any exercise program and that there exists the possibility for certain conditions occurring during or following training and/or exercise.  In recognition of the possible dangers connected with any physical activity, by signing below, you understand, acknowledge, agree, and hereby voluntarily accept all risk and responsibility associated with the services provided and use of any of the facilities at any OTF studio. You acknowledge that it is your responsibility to disclose any medical condition or medication that could limit or prevent you from performing physical activity.  You acknowledge that we may require you to provide written physician approval before you may use or participate in any physical activity at the Studio.  You acknowledge that you may decrease or stop at any time any physical activity you perform at the Studio and that it is your obligation to inform the Studio’s staff of any medical symptoms or issues that arise while at the Studio.  You hereby waive all claims, assume all liability, and release, hold harmless, indemnify, and agree to defend us, Ultimate Fitness Group, LLC, the franchisor of OTF and the entity who granted us contractual authority to independently own and operate our franchised location (“UFG”), the UFG Parties (defined below), any other OTF studio, any owner of any other OTF studio you may visit, and any of our or their respective affiliates, successors, assigns, agents, representatives, and employees, from liability for any injury, claim, cause of action, suit, demand, and damages (including, without limitation, personal, bodily, or mental injury, property damage, economic loss, consequential damages, and punitive damages), arising from or related to (1) your failure to disclose any pre-existing conditions, limitations, or sensitivities; (2) your presence on the premises of any OTF studio; (3) your participation in any OTF class or use of any equipment at any OTF studio; and/or (4) any negligence on our part (including our employees) or on the part of any employee at any other OTF studio. You further expressly agree that this Assumption of Risk, Release, Waiver of Liability, and Indemnification is intended to be as broad and inclusive as permitted by law, that you are aware of Section 1542 of the California Civil Code, and that you expressly agree to waive the protections, rights, and benefits you may have under Section 1542 relating to this Assumption of Risk, Release, Waiver of Liability, and Indemnification.  Section 1542 states: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.”  You expressly agree that if any portion of this Assumption of Risk, Release, Waiver of Liability, and Indemnification is held invalid, the balance shall be valid and continue in full legal force and effect. These provisions are binding on you, your estate, family, heirs, administrators, personal representatives, and assigns. 

  • Authorization for Phone Calls and Text Messages:
    By providing your phone number above and signing below, you consent to and authorize the Studio, UFG, the UFG Parties (defined below), and/or their agents to call or send you text messages to the number you provide regarding (1) class reminders, waitlists, account balances, and/or transactions, and (2) OTF promotions or advertising.  You acknowledge that these calls or text messages may be sent via autodialer, and that standard message and data rates may apply.  You are not required to authorize calls or text messages to become an OTF member, and you may opt-out at any time by request if called or by replying “STOP” in response to a message.

    You acknowledge and agree that neither UFG, nor any of UFG’s past, present, or future subsidiaries, successors, assigns, or affiliates, or their respective officers, directors, incorporators, members, partners, owners, agents, management, controlling parties, entities under common control, vendors, service providers, investors, attorneys, employees, or representatives (together with UFG, collectively the “UFG Parties”), is a party to this agreement.  You understand and agree that the UFG Parties are not responsible for any acts or omissions related in any way to this agreement, the goods or services provided to you hereunder, or for any act or omission by us or any other OTF studio or any employee, agent or representative of any OTF studio.   

  • I have read and understand and agree to comply in full with the terms and conditions stated above and in the Rules and Policies document.  I acknowledge that I have received a copy of the terms and conditions stated above and the Rules and Policies document and have had sufficient time to read them.

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