Sean's 14-Day Challenge | PAR-Q and Liability Waiver

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First name* This field is required.
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Last name* This field is required.
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Email* This field is required.
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Mobile phone
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Date of birth* This field is required.
Date
Month
Day
Year
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City and State* This field is required.
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Instagram handle
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TikTok handle
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How did you hear about us?* This field is required.
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Current weight in pounds* This field is required.
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Current height* This field is required.
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4ft 10in
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Your goal for the 14-day challenge* This field is required.
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Biggest obstacle holding you back* This field is required.
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Primary goal* This field is required.
Please Select
Please Select
Fat loss
Muscle gain
Body recomposition
General fitness
Other
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On a scale of 1 to 10, how committed are you to showing up for all 14 days?* This field is required.
Please Select
Please Select
1
2
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5
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10
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Before we build your plan, we ask a few health questions. This is standard for any coaching program and it helps us make sure the Challenge is safe and right for you. Your answers stay private between you and the PEAK coaching team. Most people answer No to all of these and move right through. If any of these apply to you, we will just have a quick conversation before getting started. Nothing disqualifies you automatically.
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Has your doctor ever said that you have a heart condition, or that you should only do physical activity recommended by a doctor?* This field is required.
Yes
No
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Do you feel pain in your chest when you do physical activity?* This field is required.
Yes
No
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In the past month, have you had chest pain when you were not doing physical activity?* This field is required.
Yes
No
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Do you lose your balance because of dizziness, or do you ever lose consciousness?* This field is required.
Yes
No
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Do you have a bone, joint, or soft tissue problem that could be made worse by a change in your physical activity?* This field is required.
Yes
No
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Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?* This field is required.
Yes
No
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Do you know of any other reason why you should not do physical activity?* This field is required.
Yes
No
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Are you currently pregnant, postpartum (within the last 6 months), or trying to become pregnant?* This field is required.
Yes
No
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Do you have, or have you ever been diagnosed with, an eating disorder (anorexia, bulimia, binge eating disorder, ARFID, OSFED) or a pattern of disordered eating?* This field is required.
Yes
No
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Do you have any food allergies, intolerances, or dietary restrictions we need to know about?* This field is required.
Yes
No
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Are you currently being treated for any mental health condition, or taking psychiatric medication?* This field is required.
Yes
No
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Do you have diabetes, thyroid disease, PCOS, or any other endocrine condition?* This field is required.
Yes
No
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Have you had any surgery in the last 12 months?* This field is required.
Yes
No
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Are you currently taking any prescription medications?* This field is required.
Yes
No
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If you answered YES to any health screening question above, please briefly describe (conditions, medications, dates, dietary restrictions, etc.). If all your answers were NO, you can leave this blank.
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These photos are for your transformation tracking only. They are stored securely, never posted anywhere without your written permission, and only viewed by Sean and Julia. Wear tight-fitting workout clothes (sports bra or fitted tank for women, shorts or fitted shorts for men). Take them in good lighting, arms relaxed at your sides. This is about your progress, not a photoshoot.
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Please upload clear photos that match the guidelines above.
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Front-facing starting photo* This field is required.
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Select files to upload
Max. file size: 10.0MB
Upload photo
Image files only
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Side-profile starting photo* This field is required.
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Back-facing starting photo* This field is required.
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Max. file size: 10.0MB
Upload photo
Image files only
Cancelof
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I certify that I am at least 18 years of age, legally competent to enter into a binding contract, and am entering this Agreement voluntarily and without duress.* This field is required.
I agree and accept
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I have answered the health screening questions truthfully and completely. I understand PEAK is relying on my answers. I confirm I have obtained, or will obtain before starting, any medical clearance indicated by my answers. I agree to notify PEAK of any material change to my health status during the challenge.* This field is required.
I agree and accept
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I understand that physical exercise and dietary change involve inherent risks, including muscle strain, joint injury, cardiovascular events, heat illness, gastrointestinal distress, and worsening of pre-existing conditions. I voluntarily and knowingly assume all such risks, including risks arising from PEAK's ordinary negligence, to the fullest extent permitted by California law.* This field is required.
I agree and accept
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I release, waive, and forever discharge PEAK Physique Coaching LLC, its owners, employees, contractors, coaches, and agents from any and all claims, damages, or causes of action arising from my participation in the 14-Day Challenge, including claims for personal injury, illness, death, emotional distress, or economic loss, to the fullest extent permitted by California law. This release does not waive liability for gross negligence or willful misconduct.* This field is required.
I agree and accept
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I expressly waive the protections of California Civil Code Section 1542, which otherwise provides that a general release does not extend to unknown or unsuspected claims. I understand this Release applies to claims I do not currently know about, and that I am giving up the right to bring such claims later.* This field is required.
I agree and accept
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I understand that PEAK and its coaches are NOT licensed dietitians, registered dietitians, physicians, or medical providers. All nutrition information is general educational content, not medical nutrition therapy, and not a substitute for advice from a qualified healthcare provider. I accept sole responsibility for identifying allergens, medication interactions, and any dietary adjustments needed for my health conditions.* This field is required.
I agree and accept
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I understand that individual results vary and that PEAK makes no guarantee regarding weight loss, body composition, performance, or any other outcome.* This field is required.
I agree and accept
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I irrevocably and perpetually grant PEAK Physique Coaching LLC the worldwide, royalty-free right to use, reproduce, edit, display, and distribute my name, likeness, photographs (including before and after photos), videos, testimonials, progress data, and statements, in any and all media now known or later developed, including social media, paid advertising, websites, and marketing materials, for any commercial or promotional purpose. I understand this grant is PERPETUAL and IRREVOCABLE, that I will receive no compensation beyond participation in the challenge, and that once content is published, PEAK is not obligated to remove it even if I later change my mind.* This field is required.
I agree and accept
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I consent to the use of my name, voice, signature, photograph, and likeness for advertising and commercial purposes as described above, and I waive any claim for damages under California Civil Code Section 3344 arising from such use within the scope of this Agreement.* This field is required.
I agree and accept
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I agree not to reproduce, redistribute, or resell PEAK's proprietary materials, including training programs, nutrition frameworks, and content shared in the private group.* This field is required.
I agree and accept
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I agree that any dispute arising out of or related to this Agreement or the Challenge shall be resolved by binding individual arbitration in California administered by JAMS, and I waive any right to participate in a class or representative action.
I agree and accept
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I agree that my electronic acceptance of these terms by checking these boxes and submitting this form has the same legal force as a handwritten signature, consistent with the federal E-SIGN Act and the California Uniform Electronic Transactions Act.
I agree and accept
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I consent to receive transactional and marketing communications from PEAK Physique Coaching by email, including challenge reminders, coaching check-ins, and offers.
I agree and accept
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I acknowledge I have been provided with, have read, and have had the opportunity to review the full 14-Day Challenge Participation Agreement linked above, and that this form and that Agreement together constitute my complete agreement with PEAK.
I agree and accept
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Your electronic signature below confirms everything you have agreed to above. Please type your full legal name exactly as it appears on your government ID, enter today's date, and draw your signature.
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Type your full legal name as your electronic signature* This field is required.
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Today's date* This field is required.
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