Fit with Nat Waiver
Please fill out a waiver just 1 time for us to keep on file, we need one on everyone since we updated virtual info.
Phone # (for class updates only)
Waiver and Release of Liability
Waiver, Release, and Assumption of Risk Form
I have volunteered to participate in a fitness program provided to me by Natalie
Whitaker (Instructor), which may include, but may not be limited to, resistance
training, stretching, strength, lifting weights and aerobic or cardiovascular exercise. In consideration,
of the instructor/trainer's agreement to direct me, I do here, now and forever release and
discharge and hereby hold harmless the instructor/trainer and her respective agents, heirs,
assigns, contractors, and employees from any and all claims, demands,
damages, rights of action or causes of action, present or future, arising out of
or connected with my participation in this or any exercise program including
any injuries resulting there from.
THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT
LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1)
EQUIPMENT BELONGING TO TRAINER OR TO MYSELF THAT MAY
MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, OVERSTRETCHING, DROPPING OF
EQUIPMENT, OVERDOING IT; (3) AND/OR NEGLIGENT INSTRUCTION OR
I have been informed of and am aware that any exercise program, whether or not
requiring the use of exercise equipment, is a potentially hazardous activity. I also have
been informed of, understand and am aware that any exercise and/or fitness
activities involve a risk of injury, as well as abnormal changes in blood
pressure, fainting, and a remote risk of heart attack, stroke, other serious
disability or death, and that I am voluntarily participating in these activities
and using equipment and machinery with full knowledge, understanding and
appreciation of the dangers involved. I hereby agree to expressly assume and
accept any and all risks of injury, regardless of severity, or death.
I have been advised that an examination by a physician should be obtained by
anyone prior to commencing a fitness and/or exercise program, or initiating a
substantial change in the amount of regular physical activity performed. If I have
chosen not to obtain a physician's consent prior to beginning this fitness program with
Trainer, I hereby agree that I am doing so solely at my own risk. In any event acknowledge
and agree that I assume the risks associated with any and all fitness related activities
and/or exercises in which I participate.
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM
IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A
RELEASE OF LIABILITY. BY SIGNING/TYPING THIS DOCUMENT, I AM
WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO
BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST TRAINER
FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES,
AGENTS, CONTRACTORS OR FACILITY.
This form is an important legal document that explains the risks you are
assuming by beginning an exercise program. It is critical that you have
read and understand this document completely. If you do not understand
any part of this document, it is your ultimate responsibility to ask for
clarification prior to signing it. This stands for in person or virtual classes!
Signature (typed name) *must sign in order to participate in Fit with Nat classes in person or virtual!
Send me a copy of my responses.
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