Informed Consent & Liability Release
I hereby consent to voluntarily engage in a plan of personal fitness training activities that are recommended by my instructor to me for improvement of my general health and well being. The levels of exercise I perform will be based upon my cardiovascular and muscular fitness. I understand that I may be required to undergo a fitness assessment to evaluate my present level and/or obtain a physician consent to begin. I agree to participate in accordance with the personal trainers instruction.
I have been informed that during my participation in this program, I will voluntarily complete the physical activities unless symptoms such as fatigue, shortness of breath, chest discomfort, or similar occurrences appear. At any point, I understand that it is my complete right and responsibility to decrease or stop exercise, and it is my obligation to inform my instructor of my symptoms.
I understand that during the performance of my program, physical touching and/or positioning of my body may be necessary to assess my muscular and bodily reactions to specific exercises, and to ensure that I am using proper technique and body alignment. I expressly consent to physical contact for these reasons.
I understand and have been informed that there exists the possibility of adverse changes and/or risk of bodily injury occurring during exercise including, but not limited to: abnormal blood pressure, fainting, dizziness, disorders of heart rhythm; in rare instances heart attack, stroke, paralysis, or death; and injuries to muscles, ligaments, tendons, and joints. I fully understand and accept the risks associated with exercise, and knowing these risks, it is my desire to participate as herein indicated and to assume full responsibility for my participation and actions.
I, for myself and on behalf of my spouse, heirs, assigns and personal representatives, hereby release, indemnify and hold harmless FRANKLIN WHEELHOUSE and their officers, agents and/or employees, with respect to any and all injury, disability, death or loss or damage to person or property, whether due to or arising from the negligence or carelessness of the Releasees or otherwise, to the fullest extent permitted by law.
By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic) and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge Franklin Wheelhouse and its insurers, associates and landlord from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out of the use of said facilities, exercise equipment, and/or my participation in all training and support services provided by Franklin Wheelhouse.
I consent to the discretionary use of my likeness for social media and marketing purposes for Franklin Wheelhouse.
I understand it is my responsibility to document and/or communicate any health concerns, past injuries, or physical limitations that may pertain to or impact services received at Franklin Wheelhouse. It is my responsibility to provide medical clearance in regards to any previous medical conditions or procedures prior to any services received by Franklin Wheelhouse. I hold Franklin Wheelhouse and it's associates harmless from any judgement or liability concerning my heath condition.
I acknowledge that I have read this entire Agreement, that I understand its terms.