Reloaded & Redefined Wellness
Client Liability Waiver & Media Release
Full Name:
First Name
Last Name
Email:
example@example.com
Phone:
Format: (000) 000-0000.
Emergency Contact: Phone:
Format: (000) 000-0000.
Date of Birth:
-
Month
-
Day
Year
Date
1. I understand that participation in personal training, group training, nutrition coaching, and wellness activities involves inherent risks including injury, illness, or death.
2. I affirm that I am physically able to participate and will notify the coach of any medical conditions, injuries, or limitations.
3. I voluntarily assume all risks associated with participation in services provided by Reloaded & Redefined Wellness.
4. I release and hold harmless Reloaded & Redefined Wellness, its owners, contractors, and affiliates from claims, liabilities, damages, or causes of action arising from participation, except where prohibited by law.
5. I understand results are not guaranteed and depend on effort, consistency, nutrition, sleep, stress, and adherence.
6. I understand nutrition guidance is educational in nature and not medical advice. I will consult a licensed physician for medical concerns.
7. I agree to follow safety instructions and stop activity if I feel pain, dizziness, or distress.
8. Photo / Media Release (optional): I authorize use of photos/videos for marketing and social media. Circle one: YES / NO
YES
NO
9. I have read and understand this waiver and sign voluntarily.
Client Signature:
Printed Name:
Date:
-
Month
-
Day
Year
Date
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