• HTN Mobile Personal Training - Informed Consent & Assumption of Risk Waiver

    Please read this document carefully before signing. By signing below, you acknowledge that you have read, understood, and voluntarily agree to the terms outlined in this waiver.
  • 1. INFORMED CONSENT TO PARTICIPATE
    I voluntarily choose to participate in personal training and fitness-related activities provided by Heather Chapman DBA Her True Name (“HTN”). I understand that my training may include, but is not limited to, resistance training, cardiovascular exercise, flexibility and mobility exercises, balance and stability activities, bodyweight exercises, and other physical activities appropriate to my goals and abilities.

    I understand that exercises may be modified, progressed, or discontinued based on my abilities, responses to exercise, training environment, available equipment, and information I provide to my trainer.

    2. ACKNOWLEDGMENT OF RISKS
    I understand that participation in physical exercise involves inherent risks. These may include, but are not limited to, muscle soreness, strains, sprains, falls, dizziness, fainting, abnormal blood pressure responses, aggravation of existing injuries or medical conditions, cardiovascular events, and other injuries or health complications. In rare circumstances, serious injury, disability, or death may occur.

    I understand that not all risks can be predicted or eliminated, even when reasonable precautions are taken.

    3. HEALTH INFORMATION & RESPONSIBILITY
    I agree to provide accurate and complete information regarding health conditions, injuries, medications, physical limitations, symptoms, and other information relevant to safe exercise participation.

    I agree to complete the required pre-exercise screening process before beginning training and to inform HTN of meaningful changes to my health or physical condition during my training package.

    I understand that I should stop exercising and immediately inform my trainer if I experience pain, dizziness, unusual shortness of breath, chest discomfort, faintness, or other concerning symptoms.

    I understand that HTN may recommend or require medical clearance before beginning or continuing exercise when appropriate.

    4. MOBILE & OUTDOOR TRAINING RISKS
    I understand that HTN Mobile Personal Training may take place at my residence or another mutually agreed-upon location and may involve risks associated with the training environment.

    These risks may include uneven or slippery surfaces, stairs, furniture, pets, weather conditions, outdoor terrain, temperature, equipment, limited space, and other environmental conditions.

    I agree to disclose known hazards and provide a reasonably safe area in which to train. I understand that HTN may modify, relocate, postpone, or discontinue a session if the environment is considered unsafe.

    5. EQUIPMENT
    I understand that training may involve equipment belonging to me, HTN, or a third party. I agree to disclose any known damage or problems with equipment I provide.

    I understand that physical activity involving exercise equipment carries inherent risks and agree to follow instructions regarding proper use.

    6. ASSUMPTION OF RISK
    I KNOWINGLY AND VOLUNTARILY ACCEPT AND ASSUME THE INHERENT RISKS ASSOCIATED WITH PARTICIPATING IN PERSONAL TRAINING AND PHYSICAL EXERCISE, INCLUDING RISKS THAT MAY RESULT IN INJURY, ILLNESS, DISABILITY, OR DEATH.

    7. RELEASE AND WAIVER OF LIABILITY
    TO THE FULLEST EXTENT PERMITTED BY TEXAS LAW, I RELEASE AND AGREE NOT TO HOLD HEATHER CHAPMAN DBA HER TRUE NAME, ITS OWNER, REPRESENTATIVES, AND AGENTS LIABLE FOR CLAIMS ARISING FROM THE INHERENT RISKS OF MY VOLUNTARY PARTICIPATION IN PERSONAL TRAINING ACTIVITIES.

    I UNDERSTAND THAT THIS DOCUMENT IS INTENDED TO AFFECT MY LEGAL RIGHTS. I HAVE BEEN GIVEN THE OPPORTUNITY TO READ IT CAREFULLY AND ASK QUESTIONS BEFORE SIGNING.

    8. ACKNOWLEDGMENT
    By signing below, I acknowledge that:

    I have read and understand this Informed Consent & Assumption of Risk Waiver. I understand the nature and potential risks of physical exercise. I have had the opportunity to ask questions before signing. I am signing voluntarily and understand that my signature represents my agreement to the terms above.

  • Date
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    2 digit month, 2 digit day, 4 digit year
  • One last step! 🤍
    After submitting your signed waiver, you'll be automatically redirected to my calendar to schedule your 60-minute in-person Initial Evaluation.

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