Waiver Form

Full Name

First NameLast Name

Date of Birth

MonthDayYear

Email Address

example@example.com

Phone

Please enter a valid phone number.Format: (000) 000-0000.

Date

Select the service(s) you are enrolling in

Assumption of Risk & Health Declaration

Bodybuilding coaching, including diet planning, exercise programming, and posing instruction, involves physical exertion and risks of injury, including but not limited to muscle strains, joint injuries, cardiovascular events, and eating disorders. I certify that I have no known medical conditions that would prevent me from safely participating in this program, that I will consult with a physician if I have any doubts about my health status, and that I will immediately inform the Coach of any pain, discomfort, or medical changes during the program.&#13;&#10;Clients must be 18 years or older.

Payment Authorization

For recurring services, I authorize Command the Stage Posing to charge my credit card on file the selected monthly amount starting on the agreed start date. This charge will continue until I provide written cancellation notice in accordance with the cancellation policy. For one-time programs, I authorize a one-time charge for the selected program today.

Limitation of Liability & Indemnification

I hereby release, waive, discharge, and covenant not to sue Command the Stage Posing and its coaches, employees, and affiliates from any and all liabilities, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the Releasees or otherwise, while participating in the program or traveling to or from related activities.

Dietary & Medical Disclaimer

I understand that the Coach is not a doctor, registered dietitian, or medical professional. The dietary advice provided is for educational and athletic performance purposes only and is not intended to treat, cure, or diagnose any medical condition. I assume full responsibility for any health outcomes resulting from the implementation of the diet or training plan.

Cancellation & Refund Policy

Recurring Services: I may cancel recurring monthly services with 30 days written notice. No refunds will be issued for partial months. One-Time Programs: Due to the custom nature of the work, no refunds are available for One-Time Charge Programs once the plan has been delivered.

Waiver Agreement

Please review the agreement sections above carefully before signing.

Coaching Options:

Exercise Plan (One-Time Charge, No Check-ins)

Exercise Plan includes a list based plan.

Exercise plan is good for initial purchase and a week (7-days) of questions regarding the plan.

There will be no additional months of support after the first payment.

$150.00 for the first month then,Free for each month)

Meal Plan (One-Time Charge, No Check-ins)

Meal Plan includes either macro based or list based.

Meal plan is good for initial purchase and a week (7-days) of questions regarding the plan.

There will be no additional months of support after the first payment.

$150.00 for the first month then,Free for each month)

Supplement Consultation (One-Time Charge)

Supplementation Planning.

- Bulking Protocols

- Cutting Protocols

There will be no additional months of support after the first payment.

$200.00 for the first month then,Free for each month

Lifestyle Coaching - $250 (Recurring Monthly)

Lifestyle coaching includes:

- Exercise Plan

- Meal Plan

- Questions about plans

- Bi-Monthy checks on progress and get updates as needed

$250.00 for each month

Competition Coaching - $300 (Recurring Monthly)

Competition coaching includes:

- Exercise Plan

- Meal Plan

- Supplement Plan (as needed)

- Questions about plans

- Weekly checks on progress and get updates as needed

$300.00 for each month

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Electronic Signature & Consent

Waiver Form

Coaching Options:*

Coaching Options: