Personal Training Waiver & Release Form
ASSUMPTION OF RISK AND RELEASE OF LIABILITY
I, the participant specified below, have enrolled in a group/personal health and fitness program offered by Intrinsic Mind Holistic Health & Wellness. I recognise that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. 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 this exercise program.
I, the participant specified below, acknowledge that my enrolment and subsequent participation is purely voluntary and in no way mandated by Intrinsic Mind Holistic Health & Wellness. I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training session. I understand that should I feel light-headed, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity.
I, the participant specified below, am aware that there are significant risks involved in all aspects of athletic activities and physical training. These risks include, but are not limited to, falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment strains and sprains. I am aware that any of these above-mentioned risks may result in serious injury or death to myself and or my partner(s).
In consideration of my participation in this program, I hereby release Intrinsic Mind Holistic Health & Wellness and its principals, agents, employees, trainers, and volunteers from any claims, demands, and causes of action as a result of my voluntary participation and enrolment.
I, the participant specified below, fully understand that I may injure myself as a result of my enrolment and subsequent participation in this program and I hereby release Intrinsic Mind Holistic Health & Wellness and its agents from any liability now or in the future for conditions or injuries that I may obtain. These conditions and injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, trauma, anxiety, fears, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.
EMERGENCY MEDICAL SERVICES
I, the participant specified below, give permission for Intrinsic Mind Holistic Health & Wellness staff and trainers to seek emergency medical services for me should I become injured or ill, with the understanding that I am responsible for any expense incurred. If I am signing on behalf of a minor child, I also give full permission for any person connected with Intrinsic Mind Holistic Health & Wellness to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.
INDEMNITY
I, the participant specified below, accept financial responsibility for any injury that I may cause either to myself or to any other participant due to my negligence. I further agree to indemnify and hold harmless Intrinsic Mind Holistic Health & Wellness, their principals, agents, employees, trainers, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Intrinsic Mind Holistic Health & Wellness. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent and/or any area selected for training by Intrinsic Mind Holistic Health & Wellness.
PHOTOGRAPHY OR VIDEOGRAPHY
I, the participant specified below, acknowledge that I may be photographed or videotaped during training. I hereby consent to the use of these photographs and/or videos without compensation, on the Intrinsic Mind Holistic Health & Wellness website or in any editorial, promotional or advertising material produced and/or published by Intrinsic Mind Holistic Health & Wellness.
**IMPORTANT NOTE**
I am aware that this agreement is ongoing and will apply to all future occasions I participate in activities and training with or at the direction of Intrinsic Mind Holistic Health & Wellness.
This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
I have read and understood the above statements. I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission.
I, the participant specified below, have enrolled in a group/personal health and fitness program offered by Intrinsic Mind Holistic Health & Wellness. I recognise that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. 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 this exercise program.
I, the participant specified below, acknowledge that my enrolment and subsequent participation is purely voluntary and in no way mandated by Intrinsic Mind Holistic Health & Wellness. I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training session. I understand that should I feel light-headed, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity.
I, the participant specified below, am aware that there are significant risks involved in all aspects of athletic activities and physical training. These risks include, but are not limited to, falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment strains and sprains. I am aware that any of these above-mentioned risks may result in serious injury or death to myself and or my partner(s).
In consideration of my participation in this program, I hereby release Intrinsic Mind Holistic Health & Wellness and its principals, agents, employees, trainers, and volunteers from any claims, demands, and causes of action as a result of my voluntary participation and enrolment.
I, the participant specified below, fully understand that I may injure myself as a result of my enrolment and subsequent participation in this program and I hereby release Intrinsic Mind Holistic Health & Wellness and its agents from any liability now or in the future for conditions or injuries that I may obtain. These conditions and injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, trauma, anxiety, fears, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness that I may incur, including death.
EMERGENCY MEDICAL SERVICES
I, the participant specified below, give permission for Intrinsic Mind Holistic Health & Wellness staff and trainers to seek emergency medical services for me should I become injured or ill, with the understanding that I am responsible for any expense incurred. If I am signing on behalf of a minor child, I also give full permission for any person connected with Intrinsic Mind Holistic Health & Wellness to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.
INDEMNITY
I, the participant specified below, accept financial responsibility for any injury that I may cause either to myself or to any other participant due to my negligence. I further agree to indemnify and hold harmless Intrinsic Mind Holistic Health & Wellness, their principals, agents, employees, trainers, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Intrinsic Mind Holistic Health & Wellness. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent and/or any area selected for training by Intrinsic Mind Holistic Health & Wellness.
PHOTOGRAPHY OR VIDEOGRAPHY
I, the participant specified below, acknowledge that I may be photographed or videotaped during training. I hereby consent to the use of these photographs and/or videos without compensation, on the Intrinsic Mind Holistic Health & Wellness website or in any editorial, promotional or advertising material produced and/or published by Intrinsic Mind Holistic Health & Wellness.
**IMPORTANT NOTE**
I am aware that this agreement is ongoing and will apply to all future occasions I participate in activities and training with or at the direction of Intrinsic Mind Holistic Health & Wellness.
This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
I have read and understood the above statements. I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission.
