I, {name}, (hereinafter “trainee”) hereby acknowledge that I have voluntarily applied to participate in one or more Personal Fitness programs offered by Totally Designed Body, LLC
I AM AWARE THAT ALL FORMS OF EXERCISE INCLUDING BUT NOT LIMITED TO AEROBIC ACTIVITY AND WEIGHT LIFTING, YOGA, PILATES, AIS STRETCH, MAY BE HAZARDOUS ACTIVITIES. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH FULL KNOWLEDGE OF THE DANGER AND RISK TO BE INVOLVED AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY.
I hereby certify that (1) I have accurately and honestly completed the Health and Personal Injury Questionnaire, (2) I am not suffering from any physical disability, and (3) I am physically and mentally able to participate in the programs offered by Totally Designed Body, LLC or any trainers/teachers/therapists affiliated with Totally Designed Body, LLC. As lawful consideration for being permitted by Totally Designed Body, LLC or any affiliated organization to participate in any of its programs, I hereby agree that I, my heirs, distributees, guardians, legal representatives and assigns will not make a claim against, sue, attach the property of or prosecute Totally Designed Body, LLC or any employee, agent, representative or person affiliated with Totally Designed Body, LLC for injury or damage resulting from the negligence or other acts, however caused, by an employee, agent or representative of Totally Designed Body, LLC or one of its affiliated organizations, as a result of my participation in the Exercise and or Lifestyle and Weight Management Program.
In addition, I hereby relieve and discharge Totally Designed Body, LLC and all employees, officers, directors, shareholders, agents or representatives of the aforementioned organization, from all actions, claims, or demands I, my heirs, guardians, legal representatives or assigns now have, or may hereafter have, for injury or damage resulting from my participation in any of the Totally Designed Body, LLC programs including, but not limited to, aerobic exercise and weight lifting.
Before signing this form, please ask any questions regarding any aspect of the program or this form that may be unclear to you.)