Online 4 Week (free) Coaching Waiver
I have purchased(Free) health coaching (exercise, nutrition, and/or online) services offered by Deschutes Fitness LLC, DBA Oregon CrossFit(the “Program”). I understand that the information in the Program is for informational purposes only. The Program is not medical advice and should not be treated as medical advice. The information is provided “as is” without any representations or warranties, express or implied. I understand that the Program is not intended to diagnose or treat any illnesses or prevent future illnesses. I understand that individual results may vary and no results are guaranteed.
The Client understands that the role of the Program is not to prescribe or assess micro- and macronutrient levels (however can provide recommendations on macronutrients if indicated); provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body.
The Client understands this not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other licensed or registered professional, and that any advice given by Oregon CrossFit or any of its employees or contractors is not meant to take the place of advice by these professionals. If Client is under the care of a health care professional or currently uses prescription medications, Client should discuss any dietary changes or potential dietary supplements use with his or her doctor, and should not discontinue any prescription medications without first consulting his or her doctor.
I recognize that the Program may involve strenuous physical activity. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in the Program. I understand that any physical activity carries the risk of injury and due to its physical nature, the Program could therefore result in my injury. I expressly agree that all exercise and risk of injury that I undertake as a part of the Program is undertaken at my sole risk.
Client has chosen to work with Oregon CrossFit and understands that the information received should not be seen as medical or nursing advice and is not meant to take the place of seeing licensed health professionals.
I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in the Program. I acknowledge that my enrollment and all subsequent participation in the Program is voluntary and I do so entirely at my own risk. I acknowledge that I have any necessary approvals from my doctor or medical professional to begin the Program. If I suspect that I may have an ailment or illness that may require medical attention, then I understand that it is my responsibility to consult with a licensed physician immediately.
I understand and acknowledge that I will not rely on the information in the Program as an alternative to advice from my medical professional or healthcare provider. I understand that I should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment as a result of any information provided in the Program. I understand that this Program is not intended to diagnose, prescribe, or treat any disease, condition, illness, or injury. Before beginning any diet program, modifying my diet, or making changes to the diet of an individual in my care, I will seek the advice of a licensed medical professional. Any recommendations I follow for changes in diet or exercise, including the use of nutritional supplements, are entirely my responsibility. The Food and Drug Administration has not evaluated any statements in the Program.
I affirm that I have provided Oregon CrossFit a complete and accurate medical history, including past and present medical conditions and all medications that I am currently taking. In providing the Program to me, Oregon CrossFit is relying upon the truth, accuracy, and completeness of all information I have provided.
The Program may also contain recipes. All such recipes have been tried and used successfully, but results may vary from person to person. I agree to consult my medical professional before using any recipe if I have concerns about how I may individually react to the use of any particular recipe or ingredient. By voluntarily creating and using any recipe provided in the Program, I understand that I assume the risk of any potential injury that may result.
I understand that participating in the Program carries the risk of injury or illness. I expressly agree that all risk of injury is undertaken at my sole risk. In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
I further expressly agree that I will not use any equipment related to the Program improperly. If equipment is located on the premises that is not used as part of the Program, I expressly agree that I will not use the equipment and release Oregon CrossFit, its agents and employees from any claim, demands, injuries, damages, actions, or causes of action, that could occur from my inappropriate use of such equipment.
Oregon CrossFit, its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, shall not be liable to me, my heirs, executors, administrators, assigns, or personal representatives for any claims, demands, injuries, damages, actions or causes of action to my person or property arising out of or connected with the Program. I expressly release Oregon CrossFit, its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns from all such claims, demands, injuries, damages, actions, or causes of action, from all acts of active or passive negligence on the part of Oregon CrossFit, to the extent such a release of negligence is permissible by law.
Participant agrees that any pictures, audio, or visual recordings taken of him/her in connection with the class can be used for publication, promotion, articles, shows and advertising without additional consent and without compensation at this time or any other time.
I have read and understand this release and agreement and agree to its provisions. I am not under their influence of any drugs, alcohol, or other intoxicants. I am not suffering from any illness or incapacity. I am over 18 years of age. (If not over 18 years of age, parent or guardian must sign.)
By entering your initials in the box below you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge
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