207 Multisport - Endurance and Nutrition Coaching - Consent & Waive Liability Form
Please read the information below i detail and sign at the bottom with your full name, date and check the "I agree" box.
Email address *
Today's Date *
MM
/
DD
/
YYYY
Name *
Your answer
Address *
Your answer
Phone # *
Your answer
email *
Your answer
This Waiver Agreement is a legal agreement between you the "Releasee" and 207 Multisport - Endurance and Nutrition Coaching *
I (the “Releasee”), having read through the following document, hereby acknowledge that in signing this form, I am releasing 207 Multisport - Endurance and Nutrition Coaching and all of its employees, agents, Independent contractors, subsidiaries, sponsors and affiliates (collectively, 207 Multisport - Endurance and Nutrition Coaching) from liability. This consent form is an agreement with legal consequences. In consideration of 207 Multisport - Endurance and Nutrition Coaching and the level of coaching and support obtained, I agree to the following terms and conditions while utilizing the 207 Multisport - Endurance and Nutrition Coaching services: I acknowledge that I understand the terms and conditions of the coaching level for which I have paid as stipulated in the description of said coaching level. Any interactions between myself and my Coach that go beyond the description of the coaching level for which I have paid will occur solely at the discretion of the Coach. Should I require or desire a change in the level of coaching I am receiving, I understand that such change in coaching level will likely result in a change in the costs of the services I receive and may require all parties to enter into a new coaching agreement and require me to sign a new Consent and Release form delineating the terms and conditions of the new and/or modified coaching relationship. Such new coaching agreement and Consent and Release Form will supersede any prior agreements and or releases entered into and/or signed by the parties. I understand that cycling, running and triathlon are inherently dangerous sports and fully assume all risks associated with my cycling, running, swimming and triathlon preparation including but not limited to, the following: the threat of possible collision with pedestrians, vehicles, other cyclist/runners and all road hazards; the threat of injury from the Releasee’s own negligence, and adverse weather conditions; and or possibility of serious physical and/or mental trauma, illness, or injury that may arise from either swimming, cycling or running. I acknowledge that it is my decision whether or not to wear a helmet when riding my bicycle, and assume all risks associated with my decision. 207 Multisport - Endurance and Nutrition Coaching strongly advises all clients to wear a helmet when riding a bicycle. To my knowledge, I have no physical or mental condition, which would interfere with my ability to prepare for the sport of To my knowledge, I have no physical or mental condition, which would interfere with my ability to prepare for the sport of running, swimming, cycling or triathlon (consisting of swimming, biking and running) As with any exercise program; 207 Multisport - Endurance and Nutrition Coaching strongly recommends consultation with a physician prior to participation in a training program. I agree to disclose any physical or medical condition that may have an impact on my participation with 207 Multisport - Endurance and Nutrition Coaching and hereby release 207 Multisport - Endurance and Nutrition Coaching from any liability arising there from. 207 Multisport - Endurance and Nutrition Coaching recognizes and will honor its responsibility to keep any physical and/or medical information provided by me strictly confidential and will only disclose such information on as-needed basis within and among its employees, agents, independent contractors, sponsors and affiliates. I recognize that the information contained in the 207 Multisport - Endurance and Nutrition Coaching training materials provided to me by 207 Multisport - Endurance and Nutrition Coaching and by my coach is the property of 207 Multisport - Endurance and Nutrition Coaching and that for the duration of my relationship with 207 Multisport - Endurance and Nutrition Coaching and thereafter, I may not utilize 207 Multisport - Endurance and Nutrition Coaching or any training information provided to me by 207 Multisport - Endurance and Nutrition Coaching to advise or coach another individual or group of individuals. Violation of this section will result in my being liable to 207 Multisport - Endurance and Nutrition Coaching for any and all damages, monetary and non-monetary losses and injuries resulting from my unauthorized use of 207 Multisport - Endurance and Nutrition Coaching information. I hereby waive, release, and promise not to sue 207 Multisport - Endurance and Nutrition Coaching from any and all claims that may arise from using 207 Multisport - Endurance and Nutrition Coaching services and training programs.
Required
Please enter your name as signature *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service