• Athlete Development Program – Membership Waiver & Informed Consent Form

    Mental Performance | Physical Performance | Nutrition | Hormone Health
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  • Program Description:
    As part of this membership, athletes will engage in training and education within the Four Absolutes of Development:

    • Mental Performance
    • Physical Performance
    • Nutrition
    • Hormonal Health 

    These services may include individualized assessments, goal setting, physical training, mindset coaching, nutrition discussions, and education on hormone health. In order to personalize support, athletes may be asked to voluntarily provide personal and health-related information.

    Consent to Participate & Voluntary Information Disclosure
    I understand that participation in this program is voluntary. I acknowledge that:

    • I (or my child) may be asked to provide personal health information, including but not limited to menstrual history, eating habits, mental health status, physical limitations, and sleep patterns.
    • Any personal health data collected is for the purpose of optimizing performance and well-being.
    • Participation or disclosure is not required and may be limited by my (or my child’s) comfort level.
    • This program does not diagnose, treat, or prescribe for any medical or mental health conditions.
       

    HIPAA and Confidentiality
    Although this program is not a licensed healthcare provider bound by the full extent of HIPAA law, we are committed to maintaining confidentiality and privacy. All personal and health-related information shared will be handled with care and will not be disclosed without written consent, except where required by law.

     Acknowledgment of Risk
    I understand that participation in physical training, nutrition changes, and discussions about mental or hormonal health may involve risks, including but not limited to:

    • Physical injury or illness
    • Emotional discomfort
    • Nutritional reactions
    • Misunderstanding or misapplying information provided 

    I acknowledge that I have been advised to consult with licensed medical professionals before starting any training, nutrition, or hormone-related changes. I understand this program is educational and performance-based and is not a substitute for professional healthcare services.

    Release of Liability
    By signing below, I voluntarily release and hold harmless all coaches, trainers, staff, and affiliated parties of this program from any and all liability, claims, or demands arising out of or related to:

    • Participation in any part of the program
    • Any injury, illness, mental distress, or other consequences that may occur
    • Decisions made based on educational information provided 

    This waiver is binding upon my heirs, successors, assigns, and legal representatives.

     Acknowledgment & Signature
    I have read and understand this waiver. I acknowledge that all questions regarding the program and this waiver have been answered to my satisfaction. 

     

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