Liability waiver

Balanced Life Personal Training

INFORMED CONSENT AND ASSUMPTION OF RISK AND RELEASE OF LIABILITY
Name

First NameLast Name
Date of birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
This Informed Consent and Assumption of Risk and Release of Liability is entered into on ______________________ (“Effective Date”). This document pertains to any and all training set forth by Trainer, Jessica Martinez, with Balanced Life Personal Training, and includes, but is not limited to, bootcamp sessions, spin classes, training sessions and all other services offered.

1.    Client certifies that he/she is of adequate physical condition to participate in physical exercise.
   Initials ______

2.    Client certifies that he/she assumes the risk of physical injury, whether minor, severe, or otherwise.
   Initials ______

3.    Client certifies that he/she will disclose to Trainer whenever suggested activities cause distress beyond Client’s threshold.
       Initials ______

4.    Client certifies that he/she will not hold Trainer liable for any physical injury, whether minor, severe, or otherwise that result from Training Sessions / Plans.
                        Initials ______

5.    Client certifies that he/she assumes all responsibility for his/her participation in any and all Training Sessions provided by Trainer, Jessica at Balanced Life Personal Training.
                      Initials ______
Signature
Date

MonthDayYear
Date
Should be Empty:

Balanced Life Personal Training