Personal Training
WAIVER & RELEASE FORM
Because physical exercise can be strenuous and subject to risk of serious injury, your personal trainer
urges you to obtain a physical examination from a doctor before beginning any exercise or training
program. You agree that by participating in these physical exercise sessions or personal training
activities, you do so entirely at your own risk. This includes, without limitation, (a) your use of all
amenities and equipment in the facility and any off site location and your participation in any
activity, class, program, personal training or instruction, (b) the sudden and unforeseen
malfunctioning of any equipment (c) our instruction, training, supervision, or dietary
recommendations. You agree that you are voluntarily participating in these activities and use of these
facilities and premises and assume all risks of injury. You expressly agree to release and discharge
your personal trainer or instructor, and from any and all claims or causes of action. This waiver and
release of liability includes, without limitation, all injuries to you which may occur, regardless of
negligence.
If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be
invalid, then the remainder of this release from liability shall remain in full force and effect and the
offending provision or provisions severed here from.
You acknowledge that you have carefully read this waiver and release and fully understand that it is a
release of liability. You agree to voluntarily give up any right that you may otherwise have to bring
a legal action against the personal trainer or instructor for negligence, or any other personal injury or
property damage or loss action.
Signed: __________________________________
Printed Name: _____________________________
Date: ___/___/___
6/13
