Liability Waiver & Release of Claims

Liability Waiver & Release of Claims

Custom Built Fitness, LLC - Stuart, FL
Client Information
Name

First NameLast Name
Date of Birth

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

Street Address

Street Address Line 2

CityState

Zip Code
Health Disclosure
Please list all current or past injuries, surgeries, chronic conditions, medications, or physical limitations. Include anything that may affect exercise.
Heart Conditions Disclosed Above
Respiratory Conditions Disclosed Above
Musculoskeletal Injuries Disclosed Above
Neurological Issues Disclosed Above
Metabolic Conditions Disclosed Above
Medication Possible Contraindications Disclosed Above
Full Disclosure of Medical Conditions that may Affect Ability to Exercise
Health Acknowledgment Statement
Assumption of Risk
I understand that participating in personal training, exercise instruction, stretching, conditioning, and physical activity involves inherent risks. These may include, but are not limited to: muscle soreness, strains, sprains, joint injuries, cardiovascular events, slips, trips, equipment-related injuries, or injuries caused by environmental conditions at the training location. I voluntarily assume all risks associated with participating in training with Custom Built Fitness, LLC. and its owner Nicole Maslak
Mobile Training Environment Release
I understand that sessions may occur in locations such as my home, driveway, workplace, parks, beaches, or community spaces not controlled by Custom Built Fitness, LLC. I accept full responsibility for ensuring the location is safe, including securing pets, children, hazards, and environmental risks. I release Custom Built Fitness, LLC and Nicole Maslak from any injury or property damage arising from conditions at the chosen training location.
Liability Release and Hold Harmless Agreement
In consideration of participating in personal training, I hereby release, waive, discharge, and hold harmless Custom Built Fitness, LLC., its owner Nicole Maslak, and any employees, contractors, volunteers, or affiliates from any and all liability, claims, demands, actions, or causes of action related to injury, illness, death, or property damage arising from participation in training. This release applies whether caused by negligence or otherwise, to the fullest extent permitted by Florida law.
Cancellation & Non-Refund Policy
Prepaid sessions are non-refundable. Cancellations must be made at least 24 hours before the scheduled session. Any cancelled session must be rescheduled within one week of the original appointment. Missed or late cancellations may be forfeited.
Photo & Video Consent
Photo & Video Authorization
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Authorization
Consent to Electronic Signature
By signing below, I consent to using an electronic signature for this agreement. I understand that my electronic signature has the same legal effect as a handwritten signature under the ESIGN Act and Florida law. I consent to receive, sign, and store documents electronically.
Arbitration Agreement
I agree that any dispute, claim, or controversy arising out of or relating to my training services shall be resolved through binding arbitration, not court litigation. Arbitration shall take place in Martin County, Florida, and shall follow the rules of the American Arbitration Association. I waive my right to a jury trial.
Digital Signature
Name

First NameLast Name
Signature
Date Signed

MonthDayYear
Date
Final Acknowledgement
Should be Empty:

Liability Waiver & Release of Claims

Client Information

Health Disclosure

Assumption of Risk

Mobile Training Environment Release

Liability Release and Hold Harmless Agreement

Cancellation & Non-Refund Policy

Photo & Video Consent

Emergency Contact Information

Consent to Electronic Signature

Arbitration Agreement

Digital Signature