Personal Training Waiver

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First name

Last name

Email address

Birthday

Phone number

Medical Background

Please select all that apply

Heart disease or high blood pressureDiabetesThyroid disorderOsteoporosis or osteopeniaBack painArthritis or joint painRecent surgery or injuryPregnancy or postpartum (within 6 months)Balance or coordination problemsNeck or shoulder painDizziness or vertigoKidney diseaseChest pain during physical activity

Any conditions not mentioned?

Current Medications

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Current Activity Level

SedentaryLightly ActiveModerately ActiveVery Active

Agreement to Waiver

Cary Endocrine Wellness Studio

6750 Tryon Rd. Suite 101, Cary, NC 27518

919-650-6345

studio@caryendocrine.com

In consideration of being allowed to participate in the fitness programs and activities offered by Cary Endocrine Wellness Studio, I hereby acknowledge and agree to the following:

1. Assumption of Risk: I understand that participating in fitness programs, classes, and activities involves inherent risks, including but not limited to, the risk of injury, illness, and death. I am voluntarily participating in these activities with full knowledge of these risks.

2. Health and Fitness: I certify that I am physically capable of participating in personal training and exercise and have disclosed any relevant medical conditions to my trainer, including (but not limited to): - Heart, lung, or circulatory conditions - Musculoskeletal injuries - Diabetes, thyroid, or endocrine disorders - Pregnancy or postpartum status - Any condition for which physical exertion should be limited If I am under a physician’s care, I have obtained medical clearance to participate in exercise.

3. Release of Liability: I hereby release and discharge Cary Endocrine Wellness Studio, its owners, instructors, employees, contractors, and agents from any and all claims, liabilities, demands, actions, or causes of action, both at law and in equity, arising out of or in connection with my participation in fitness programs and activities at Cary Endocrine Wellness Studio. This includes, but is not limited to, any claims for personal injury, property damage, or wrongful death.

4. Assumption of Responsibility: I assume full responsibility for my own safety and well-being during my participation in fitness activities at Cary Endocrine Wellness Studio. I agree to follow all instructions and guidelines provided by the instructors and staff.

5. Photography and Video: I understand that Cary Endocrine Wellness Studio may take photographs or videos during fitness classes and events for promotional and marketing purposes. I grant Cary Endocrine Wellness Studio permission to use my likeness in these materials without compensation.

6. Payment and Refund Policy: I understand that payment for fitness classes and services is non-refundable, except as provided in Cary Endocrine Wellness Studio refund policy.

7. Minors: If the participant is under 18 years of age, the undersigned parent or legal guardian hereby agrees to the terms of this waiver on behalf of the minor and acknowledges that they are legally responsible for the minor's actions and safety.

8. Governing Law: This waiver shall be governed by and construed in accordance with the laws of the state of North Carolina.

I have read and fully understand the terms and conditions of this Waiver and Release of Liability. I am signing this waiver voluntarily and of my own free will.

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