Survey and Waiver

    Do you have any previous experience with weight lifting?
    YesNo

    Have you ever done High Intensity Interval Training?
    YesNo

    Describe your current fitness routine. How many hours per week do you spend on fitness and what types of activities do you take part in?

    WAIVER & RELEASE FORM

    Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Any recommendation for changes in diet including the use of food substitutions are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily participating in these activities and you assume all risks of injury, illness, or death.

    You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage.

    To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.

    By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.