Dad Bod Program
Thank you for your interest in training with Tremayne Dortch! Please fill out the following form as he likes to get to know who he is working with and what your strengths and weakness may be.
Have you used online training / coaching before? If yes, what program(s) did you use, and what do you feel you needed to better your experience? If no, why do you want to start now?
What are some areas you struggle with?
What do you consider your fitness level to be?
Please explain your overall fitness goals
What do you do for work?
Do you have kids? If so how many and around how old?
What are you looking for most in this Dad Bod Program?
What is your weight?
What is your height?
I hereby permit myself and/or my family members to participate in BEAST BODY CO/FITNESS classes, programs, online workouts, and/or special events including any and all physical activity by granting permission to participate in BEAST BODY CO/FITNESS programs/classes/events. I assume full responsibility for myself and any/all family/ friends and release BEAST BODY CO, its supervisors- employees- contractors, all its affiliates, sponsors, associates, and volunteers from any and all liabilities including death to participant (including self, spouse, child(ren), family and those who may or may not be listed. I understand there is personal risk involved and can result in injury, disability, or death. I am aware that there can be malfunction in equipment/gym devices/facility. I declare that myself (my spouse, child(ren), and my family) have been seen by a physician and is cleared to participate in physical activities offered at BEAST BODY CO. The above information is true to the best of my knowledge. I give BEAST BODY CO/FITNESS permission to use any pictures or videos of all members including self and family participating in BEAST BODY FITNESS programs and release BEAST BODY to use footage on website or marketing/media material. BEAST BODY CO has the right to change/alter/modify this form whenever it seems fit. I and/or my child(ren), admit knowingly and willingly that I have enrolled in BEAST BODY CO, a physical health and fitness program that may involve strenuous physical activity including but not limited to, muscle strength, and endurance training, cardiovascular conditioning training, running, jumping, stretching, and other various fitness activities such as stretch, dance, and more. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which could prevent or limit my participation in this exercise program. Any physical conditions I am aware of (for me or my family) will be listed above along with any known previous/current surgeries, injuries, medications, allergies, disorder, disease, etc. I acknowledge that my enrollment (or child(s)) enrollment and subsequent participation is purely voluntary and in no way mandated by BEAST BODY COMPANY. In consideration of my participation in this program, I, hereby release BEAST BODY COMPANY (also doing business as BEAST BODY FITNESS) and its agents, including, but not limited to: programs/classes offered, program trainers/ instructors, assistants, advisors, account holders, volunteers, contractors, interns, or any persons involved in the program and all its affiliates, including, any claims, demands, and causes of action as a result of my voluntary participation and enrollment. I, or my child(ren) fully understands that I may injure myself as a result of my enrollment and I release BEAST BODY COMPANY of any injury that may be obtained from my participation, including, but not limited to heart attacks, muscle strains, pulls, tears, broken bones, shin splints, heat exhaustion, knee, back, or foot injuries, miscarriages, pregnancy/delivery complications, and any other illnesses, including Covid 19 or any virus and infections, soreness, or death that may occur before, during, or after my participation including the drive to and from facility program/ class session times along with any injury that may occur due to weather conditions, malfunction in equipment/build, both on and off BEAST BODY CO premises or in or out of the building/facility. I fully acknowledge and understand my enrollment and participation in BEAST BODY CO is at my own risk and I, hereby release any suffering, injury, or damages. In signing this waiver I agree to give up all rights in pursuing a claim, sue, or any kind of settlement for me or my child(ren), or family, including any and all programs/ services held at BEAST BODY. I release any facilities (where classes are held) and any field/ landowner in which classes can be held). I release BEAST BODY from any damage to my vehicle on/off BEAST BODY CO grounds due to others and/or theft and also release BEAST BODY of any religious or political views. (As a Trainer or Instructor of any other facility/or program I give up my right to re use, sell, or re-distribute the use of BEAST BODY workouts/routines or class structure BEAST BODY offers to their clients/programs for self/profitable use other than that instructed by BEAST BODY (BEAST BODY has the right to pursue me in any claims or lawsuits for using BEAST BODY material without consent.) Covid Liability and Release: I understand the Covid 19 Pandemic and release Beast Body Company/Fitness of any and all liability. I understand that by attending the gym, I put myself at risk of catching any illness or disease related to or not related to Covid 19. I agree to not attend in person classes if I have come in contact with someone who has COVID-19, if I have it or think I have it. I agree to not attend classes if showing symptoms for the common cold or allergy along with any sick, rash, or fever like symptoms related or not related to Covid. By agreeing to not attend classes for any reason above, I will quarantine myself from Beast Body Company/Fitness for 14 days per the CDC recommendations. I agree to help keep all areas clean by wiping sweat / bodily fluids from my performance areas. Also per CDC guidelines, I will inform our Beast Body Support Team at
if I or someone I know has come in contact with Covid. I voluntarily perform the exercises and attend the classes at my own will. I release Beast Body Company/Fitness of any and all liability. Payments and Cancellation Policy: I acknowledge there is a $25 registration fee (for select memberships) and a $25 cancellation fee. It is my responsibility to give written notice in advance of dropping any classes/memberships/packages prior to the 22nd of the month ( before my next billing cycle) i must also fill out a Cancellation Request form via the website
or in person. I understand all monthly tuition is due upon specified dates and every month thereafter. I acknowledge I will be charged a $15 cancellation /no show fee for Personal Training sessions I do not attend without giving 24hrs notice. I understand it is my responsibility to make sure BEAST BODY CO/FITNESS receives my full monthly membership cost. I understand there will be a $25 late fee on any payments not received within 72hrs, $35 fee for check payment returned for any reason along with a $25 late fee. There is a $50 non refundable Gym reservation fee for events/birthdays. I understand BEAST BODY CO does not refund tuition/membership/ or purchase of any package costs for any reason. Nutrition Packages must also cancel by the 22nd of every month and are also subject to the cancellation terms stated. Online App Subscription cancellations are also to be cancelled by the 22nd of the month. A$3 Online Cancellation Fee will apply. I acknowledge I am responsible for keeping all cards on file up to date to avoid late charges, penalties, or collections. PLEASE NOTE BY SIGNING OR PURCHASING/REGISTERING FOR A BEAST BODY CO/FITNESS CLASSES/ PROGRAMS/SERVICE/AND PERFORMING THE EXERCISES, I AUTOMATICALLY AGREE TO THE WAIVER, TERMS, POLICY AND AGREEMENTS AND RELEASE BEAST BODY CO OF ANY/ALL LIABILITY. I have read, understood, and execute this release and acknowledgement.
A copy of your responses will be emailed to the address you provided.
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