Informed Consent Form

Informed Consent Form

All members, personal training clients, group class participants and drop in patrons must sign this form before starting their first workout at Big Mountain Barbell.
Please read through each and every item in this informed consent and mark each checkbox provided as an affirmation to the understanding of the provisions below.

By training inside this facility, you are accepting that your safety is your responsibility. You must assess risks and make safe choices when exercising. Use proper form, judgement and the safety bars and spotters when appropriate.

If you disagree to any terms in this contract, you do not have permission to exercise at Big Mountain Barbell.

Please contact us with any concerns,

Big Mountain Barbell
E-mail address: bigmountainbarbell@gmail.com
Please provide us with a picture of your face. *
Purpose*

I understand exercises I perform at this facility may include but are not limited to, aerobic activities, walking, running, cycling, rowing, and weight lifting with the use of machines and free weights. I am responsible for using good form on all forms of exercise.I understand that Big Mountain Barbell is a 24 hour facility and does not have staff on hand most hours of the day.
Risks*

I understand that during the conduct of exercise, the reaction of my heart, lungs, and blood vessels, etc., cannot be predicted with accuracy, thus risks may arise due to adverse changes that may lead to heart attack, high blood pressure, or stroke.I understand that during training, injuries may arise such as muscle, ligaments, joints and tendons; and in I have been given proper information in order to prevent or minimize these occurrences.I understand that it's my responsibility to get a yearly physical exam from my doctor to be cleared for exercise.I understand that if I choose to use the Sauna, I must follow the rules posted and exit immediately if I feel faint, light headed or dizzy. I will only use if I am hydrated and not under the influence of drugs or alcohol.
Waiver*

I understand that I shall solely be responsible, and the fitness center shall not be held liable for any damages and injuries arising from my fitness training.I understand that during training, injuries may arise such as muscle, ligaments, joints and tendons; and in I have been given proper information in order to prevent or minimize these occurrences. If I am unsure, it's my responsibility to hire a coach to teach me proper form.I hereby release and fully and forever discharge the Big Mountain Barbell, its coaches and agents from any and all claims, demands, and/or damages therein.It understand that it is solely my responsibility to monitor my body and its’ reactions and determine if it is appropriate to use the sauna. I am responsible for my safety and well-being.
Confidentiality*

I am aware that all information obtained by Big Mountain Barbell from me, such as fitness records, personal information, among others, shall be treated as confidential information and that the fitness center holds these information as privileged information. These information shall not be disclosed nor shared to anyone without my prior written consent.
By signing this form, I have had the opportunity to ask questions and those were answered to my satisfaction. I understand all the terms, my rights, as well as my obligations herein. I voluntarily give my consent and I declare that I was not induced or coerced into signing this form.
Age Verification*

I am of legal age and I am legally competent to give my consent to this agreement.I am below of legal age or I am not competent to sign this agreement. My Parent/Guardian/Representative shall sign this informed consent on my behalf.
Name*

First NameLast Name
Email*
example@example.com
Date*

MonthDayYear
Date
Signature*

Clear
Parent/Guardian/Representative

First NameLast Name
Email
example@example.com
Date

MonthDayYear
Date
Signature

Clear
Should be Empty: