• AMADEO FITNESS™ HEALTH SCREENING & PRE-CLEARANCE PROFILE

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • SECTION 1: IMMEDIATE EXCLUSION & RED FLAG AUDIT

    If you answer YES to any question in Section 1, our safety protocol requires you to secure an official signed Medical Clearance Form from your primary physician.
  • Have you experienced a bone fracture, joint dislocation, or spinal injury within the last 12 months?*
  • Have you undergone a major surgical procedure (such as shoulder, knee, back, or abdominal surgery) within the past 12 months?*
  • Do you have a history of diagnosed spinal abnormalities, degenerative disc disease, herniated/bulging discs, or severe back issues?*
  • Are you currently taking any prescription blood thinners or anticoagulant medications?*
  • Are you currently experiencing chest pain, an irregular heartbeat, severe dizziness, or fainting spells?*
  • Do you have an unmanaged or unmedicated metabolic, cardiovascular, or respiratory condition?*
  • Has a doctor or specialist ever explicitly told you to avoid physical exercise or structural mobility?*
  • SECTION 2: HEALTH PARAMETERS & BASELINE HISTORY

  • Are you currently taking any regular prescription medications that alter your heart rate, blood pressure, or pain sensitivity?*
  • Are you currently pregnant, or have you given birth within the past 12 months?*
  • AMADEO FITNESS™ PHOTO, AUDIO & VIDEO MEDIA RELEASE FORM

     

    By signing below, I hereby grant amaDEO fitness™ LLC, its Managing Director, and its authorized representatives full permission to take, record, use, and publish photographs, digital video clips, and audio recordings of me captured during my physical movement tracks, stretching protocols, and studio sessions. 


    I understand and agree that these media assets may be utilized for educational, promotional, marketing, and commercial purposes across official company websites, social media feeds, brochures, and digital platforms. I hereby waive any right to inspect or approve the finished media products, and I waive any claims to royalties or financial compensation arising from the use of these materials. 


    I release amaDEO fitness™ LLC from any and all liability or claims associated with the production, publication, or distribution of these media assets.

  • Please indicate your preference below by checking ONE option:*
  • Regardless of the media preference selected above, the client explicitly acknowledges that no personal health identifiers, medical history details, or private clinical intake notes will ever be disclosed, published, or shared by amaDEO fitness™.

  • CRITICAL CRITERIA FOR DOCTOR'S MEDICAL CLEARANCE:


    I understand that if I answered YES to any of the questions above, or if I am navigating a complex clinical condition, I am legally required to provide a signed Physician’s Medical Clearance Form to amaDEO fitness™ LLC before I will be permitted to begin training, and that no payments will be accepted until this clearance is approved.

  •  ASSUMPTION OF RISK & RELEASE OF LIABILITY


    I am aware that physical exercise, corrective movement strategies, and mobility training involve inherent risks of physical injury, including but not limited to muscle strains, joint sprains, cardiovascular stress, or worsening of pre-existing underlying imbalances. I voluntarily choose to participate in the amaDEO R.A.D. Method™ and explicitly assume all risks associated with my participation.


    Knowing these risks, and in consideration for being accepted into the program, I hereby release, waive, forever discharge, and hold harmless amaDEO fitness™ LLC, its owners, instructors, and agents from any and all claims, demands, injuries, liabilities, or actions arising out of my participation in physical training, whether in-person at the Sanctuary Studio or via Virtual Streaming Blocks.

     

    CLIENT ACKNOWLEDGEMENT


    By signing below, I certify that I have read this document in its entirety, understand its legal implications, and agree that all health information provided above is accurate to the best of my knowledge.

  • LEGAL DISCLAIMER & SERVICE ACKNOWLEDGEMENT

     

    amaDEO fitness™ provides specialized, non-clinical adaptive mobility, posture integrity, and lifestyle tracking metrics under the R.A.D. Method™. The information, evaluations, and stretching techniques provided are for physical alignment and educational purposes only. They are not a substitute for professional medical advice, diagnosis, rehabilitation, or treatment. Always consult with your physician before beginning any new physical movement or stretching protocol. By signing below, you acknowledge that you have read, understood, and agree to these operational parameters.

     

    Additionally, I confirm that I am not currently under a doctor's care for an acute injury or surgery. If I am, I understand that I must provide an official medical clearance note before my first session. I acknowledge that all onboarding registration tracks are completely non-refundable if clearance cannot be provided by my physician.

     

     

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