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• {sign_date} - Today's Date

Health History & Medical Disclosure 

Please answer honestly and completely.

• Do you currently have or have you ever been diagnosed with: (Check all that apply)
  • High blood pressure         Other Heart conditions         Chest pain during exercise         Dizziness or fainting spells.       Asthma or breathing problems         Back or Neck injuries         Other Joint Injuries (knee, shoulder, ankle, etc.)         Concussion         Surgeries (past 5 years)         Diabetes         Neurological disorders.       Pregnancy         Other Medical Conditions not listed. 
• Are you currently under a physician's care for any of the above conditions? Yes No
• Are you taking medications that may interfere with exercise? Yes       No         I'm not sure

TRAINING PARTICIPATION ACKNOWLEDGMENT

I understand that participation in:

• Strength training
• Speed & agility training
• Sport-specific performance training
• Conditioning programs
• Small group/ground-based classes
• Personal training sessions

involves inherent risks, including but not limited to:

• Muscle strains and sprains
• Ligament tears
• Fractures
• Heat illness
• Cardiovascular events
• Concussion
• Permanent disability
• Death

I acknowledge that I am voluntarily participating in these activities.

4. ASSUMPTION OF RISK

I understand that physical exercise and athletic training involve risks that cannot be eliminated regardless of the care taken by the facility, trainers, or staff.

I voluntarily assume full responsibility for any risks of loss, property damage, injury, illness, permanent disability, or death that may be sustained as a result of participation

5. RELEASE & WAIVER OF LIABILITY

In consideration of being permitted to participate in activities at this facility, I hereby:

• Release and discharge the Facility, its owners, directors, employees, contractors, trainers, volunteers, and affiliates from any and all liability.
• Waive any claims against the Facility for injury, loss, or damage arising out of participation, including claims arising from negligence (except gross negligence or willful misconduct, as prohibited by law).
• Agree not to sue the Facility for any injury sustained during participation.

This waiver applies to myself, my heirs, assigns, and legal representatives.

6. EMERGENCY AUTHORIZATION

In the event of injury or medical emergency, I authorize the Facility staff to provide injury management and/or emergency procedures if necessary on my behalf if I am unable to provide consent.

I understand I am financially responsible for any medical services rendered.

7. RULES & CODE OF CONDUCT

I agree to:

• Follow all facility rules and trainer instructions.
• Use equipment properly.
• Report any unsafe conditions immediately.
• Refrain from reckless or disruptive behavior.
• Refrain from training under the influence of drugs or alcohol.

The Facility reserves the right to terminate membership for violations without refund.

8. PHOTO & MEDIA RELEASE

I understand that during my participation at the Facility, photographs, video recordings, audio recordings, and digital media may be captured that include my image, likeness, voice, performance data, or participation in training activities.

I acknowledge that such media may be used for legitimate business purposes including, but not limited to:

• Marketing and promotional materials
• Social media platforms
• Website content
• Printed materials (brochures, flyers, signage)
• Educational and instructional materials
• Advertisements

9. GRANT OF PERMISSION

I hereby grant the Facility, its owners, employees, contractors, and affiliates the irrevocable right and permission to:

• Photograph, record, and capture my image and likeness
• Use, reproduce, publish, distribute, and display such media
• Edit or modify the media as deemed appropriate
• Use the media without further notice or compensation

I understand that I will not receive financial compensation for use of these materials.

10. RELEASE OF LIABILITY

I release and discharge the Facility and its representatives from any and all claims, demands, or causes of action arising out of or related to:

• The use of my image, likeness, or voice
• Any editing, alteration, or reproduction of such media
• Claims for libel, defamation, invasion of privacy, or right of publicity

11. DATA & PERFORMANCE CONTENT (If Applicable)

I understand that performance metrics (e.g., strength testing, speed results, training clips) may also be shared for marketing or educational purposes unless otherwise specified in writing.

12.CODE OF CONDUCT AGREEMENT

Our mission is to provide a safe, professional, and performance-driven environment for all members. To maintain a positive training culture, all members and guests must agree to the following standards:

13. RESPECT & PROFESSIONAL BEHAVIOR

All members agree to:

• Treat staff, trainers, and fellow members with respect.
• Use appropriate language at all times.
• Refrain from harassment, discrimination, intimidation, or bullying.
• Follow all instructions provided by coaches and staff.

Any form of verbal, physical, or sexual harassment will result in immediate review and possible termination of membership.

14. SAFETY & EQUIPMENT USE

Members agree to:

• Use equipment properly and only as instructed.
• Not attempt lifts or drills beyond their capability without supervision.
• Immediately report damaged equipment or unsafe conditions.
• Re-rack weights and return equipment after use.
• Wear appropriate athletic attire and footwear.

Training under the influence of drugs or alcohol is strictly prohibited.

15. FACILITY RULES

Members agree to:

• Arrive on time for sessions and classes.
• Follow class structure and coaching direction.
• Respect time limits on equipment during peak hours.
• Maintain cleanliness and wipe down equipment after use.
• Store personal belongings in designated areas only.

The Facility is not responsible for lost or stolen items.

16. YOUTH & TEAM TRAINING

Youth participants agree to:

• Demonstrate sportsmanship at all times.
• Follow coach instructions immediately.
• Avoid disruptive behavior that compromises safety.

Parents/guardians agree to support staff authority and maintain respectful communication.

17. ACKNOWLEDGMENT OF UNDERSTANDING

I certify that:

• I have read this document in full.
• I understand its contents.
• I understand I am giving up substantial legal rights.
• I am signing this agreement voluntarily

·      

·       MINOR CONSENT (If Participant is Under 18)

·       Minor’s Name:

·       Date of Birth:

·       I am the parent/legal guardian of the above minor. I consent to their participation and agree to terms.

·      Parent/Guardian Name (Print):