Personal Training Liability Waiver
Informed Consent Statement for Personal Training Services with Marion Matthias viable until 2027.
Participant Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Acknowledgment of Personal Training Risks
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I desire to engage voluntarily in Marion Matthias’ Personal Training services in order to attempt to improve my physical fitness level. I understand that the activities are designed to place a gradually increasing workload on the cardiovascular-respiratory system and to thereby attempt to improve its function. The reaction of the cardiovascular-respiratory system to such activities cannot be predicted with complete accuracy; therefore, there is a risk of certain changes that can occur during or following exercise. These changes may include abnormalities of blood pressure or heart rate. I understand that the purpose of this program is to improve, develop and maintain cardiovascular-respiratory fitness, muscular strength, muscular endurance and flexibility. A specific exercise will be given to me. The program is designed to place a gradually increasing workload on the body in order to improve overall fitness and will involve cardiovascular conditioning activities as well as strength training equipment and flexibility exercises. I understand that I am responsible for monitoring my own condition throughout the program and that if any unusual symptoms occur, I will cease my participation and inform Marion Matthias of the symptoms. In signing this consent form, I affirm that I have read this form in its entirety and that I understand the exercise program. I also affirm that my questions regarding this program have been answered to my satisfaction. In the event that medical clearance must be obtained prior to my participation in this program (due to information from the PAR-Q or other), I agree to consult my physician and obtain written permission to participate. Also, in consideration for being allowed to participate in this program, I agree to assume risk of such exercise, and further agree to hold harmless Marion Matthias from any and all claims, suits, losses or related causes of action for damages, including but not limited to such claims that may result from my injury, or death, accidental or otherwise, during or arising in any way from this exercise program. I affirm that this agreement expires and is void January 1st 2027.
Signature Agreeing to Liability form
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
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