Sport Waiver Release And Assumption Of Risk Form printable pdf download

Quality Life Personal Training

Waiver, Release, and Assumption of Risk Form

I, _____________________________________, have volunteered to participate in a fitness program

provided to me by ______________________ (“Trainer”), which may include, but may not be limited to,

resistance training and aerobic or cardiovascular exercise. In consideration of Trainer’s agreement to instruct

and train me, I do here now and forever release and discharge and hereby hold harmless Trainer and his

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, DROPPING OF

EQUIPMENT; (3) AND/OR NEGLIGENT INSTRUCTION OR SUPERVISION.

I,_____________________________________, have been informed of, understand 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, I 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 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, OR CONTRACTORS.

Sport Waiver Release And Assumption Of Risk Form