fitness services waiver – sarah hunsberger

1-1 Fitbabe Health Screening + Waiver

I, ____________________ (enter name), hereby agree that by signing this document, I consent to waive certain legal rights, including the right to sue the following party, and, if applicable, its owners, trainers, representatives, and facilities from any physical, material, tangible or intangible, loss or damages that may happen to me during my participation in any of the fitness services (hereinafter, "Fitness Services") undertaken while under their instruction or thereafter: Fitbabe LLC (the "Fitness Provider"). *

First

Last

Address, City, State *

Phone Number *

Email *

Best Form of Contact *

Email
Call
Text

Birthday Month/Day/Year *

Gender *

Emergency Contact Name *

First

Last

Emergency Contact Relationship (Mother, Father, etc). *

Emergency Contact Phone Number *

Emergency Contact Email *

Please explain any conditions that you have checked above, if none put n/a: *

Please list any medications, prescription drugs, and supplements you currently take, if none put n/a: *

Please list any illness, hospitalization, or surgical procedure within the past two years, if none put n/a: *

Are you aware, through your own experiences or a doctor’s advice, of any physical reason against your exercising without medical supervision? *

Are you over the age of 65 and not accustomed to rigorous exercise? *

Are you currently or have you been pregnant within the last six months? *

CLIENT SIGNATURE: I have read the above Fitness Services Waiver fully and I understand and agree to its contents. I understand and agree that by signing this Fitness Services Waiver I forfeit any right, claim, or ability to hold the Fitness Provider responsible for any tangible or intangible damages, loss of property, or loss of life that may occur during or after my use of the facilities and participation in the Fitness Services. (PLEASE TYPE CLIENT FULL NAME BELOW FOR SIGNATURE) *

Parent/Guardian Signature if Client is under 18: (PLEASE TYPE FULL NAME BELOW FOR SIGNATURE)

Date of Signature *

By checking this box, I have read and understood the terms of this waiver to the best of my ability.