NuBODY Client Registration & Waiver

NuBODY Client Registration & Waiver

Complete your details, health information, selected service, and consent to sign electronically.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Client or Athlete Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you under 18 years old?
Parent/Guardian Full Name (if under 18)

First NameLast Name
Parent/Guardian Phone Number (if under 18)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address (if under 18)
example@example.com
Selected Service or Package
Session Preference
Please describe your health history and any relevant medical conditions.
List any current medications, allergies, or injuries.
What are your fitness goals and describe your previous experience.
Emergency Contact Name

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you grant permission for NuBODY to use your photo or video for promotional purposes?
Liability Waiver and Informed Consent
This Agreement is between Personal trainer -__ and the Client -______ ASSUMPTION OF RISKS: I recognize that there might be risks associated with strenuous exercises and there could be more dangers for some individuals. I acknowledge that there exists a possibility of adverse or unusual physical change when engaging in a personal training program, or in an event of an accident. I agree that if I engage in any physical training related to the program/equipment/facilities, I do so entirely at my own risk and any form of injuries or damage sustained through the program or malfunctioning of the equipment will all be borne by me. I am agreeing to voluntarily participate in this program and assume all risks of injury, and not hold my personal trainer accountable for any form of injury, regardless of negligence. RELEASE OF LIABILITY: I acknowledge that I have read through this waiver in its entirety. and I agree that this is a release of liability. By signing this, I agree to waive my rights to take Legal actions and claims against my personal trainer for negligence or any sort of injury/damage, without limitations, I agree that this written agreement is to be followed and no other statements or oral representations are able to override this agreement.
Electronic Signature
Should be Empty: