Client Name *Email Address *Phone *Guardian NameRequired for clients 17 years old and younger1 - I wish to participate in the exercise and training program offered by Blood Sweat Train. I understand there are inherent risks in participating in a program of strenuous exercise; consequently, I have been examined by a physician of my choice and have obtained his/her approval for my participation in a fitness program within sixty (60) days of the date set forth below. No change has occurred in my physical condition since the date such approval was given which might affect my ability to participate in the fitness program. If a physician has not examined me, I agree to see a physician within sixty (60) days of the date set forth below to obtain his/her approval for my participation in a fitness program. If I choose not to see a physician prior to beginning a fitness program, I do so strictly at my own risk and against recommendation of Blood Sweat Train. I also agree to provide Blood Sweat Train with my physician’s contact information so that Blood Sweat Train may receive direct clearance and program recommendation/limitations from my physician. I further agree that Blood Sweat Train, shall not be liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at home, at the training studio, outdoors, or at a corporate, commercial, residential or other fitness facility), and I expressly release and discharge Blood Sweat Train its owners, employees, agents and/or assigns from all claims, actions, judgments and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program, excepting only an injury caused by an intentional act of such person or persons. This Release shall be binding upon my heirs, executors, administrators, and assigns.I have read and understand this term: *YESNO2 - I understand that Blood Sweat Train will make every reasonable effort to preserve the privacy of the information contained in these forms. I further agree that Blood Sweat Train shall not be liable or responsible to me for any inadvertent disclosure of the information contained in the PARTICIPANT RELEASE AND KNOWLEDGE OF AGREEMENT and I expressly release and discharge Blood Sweat Train, its owners, contractors, agents and/or assigns from all claims, actions, judgment and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any damage which may occur in connection with disclosure of private information contained in the PARTICIPANT RELEASE AND KNOWLEDGE OF AGREEMENT. This release shall be binding upon my heirs, executors, administrators and assigns.I have read and understand this term: *YESNO3 - I certify that the answers to the questions outlined on the PAR-Q form are true and complete to the best of my knowledge. I acknowledge that medical clearance is requested if I have answered “Yes” to any of the questions on the PAR-Q form. I understand and agree that it is my responsibility to inform all trainers of any conditions or changes in my health, now and on-going, which might affect my ability to exercise safely and with minimal risk of injury. I have read and understand this term: *YESNO4 - I understand that 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 sessions. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my Personal Trainer, Group Fitness Instructor, or alternate staff.I have read and understand this term: *YESNO5 - I understand the results of any fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions. I have read and understand this term: *YESNO6 - I understand that all training rates are based on 60 minute sessions and should I arrive late, I will not receive the full session with my trainer. In return, if my Personal Trainer is late for a session, I will still receive the full session time.I have read and understand this term: *YESNO7 - I understand that during a Personal Training or Group Training session, my trainer/instructor may have to touch my muscles or joints to correct alignment and/or to focus my concentration on a particular muscle area to be targeted. If I feel uncomfortable or experience any type of discomfort with this form of touch, I will immediately request that it be discontinued.I have read and understand this term: *YESNO8 - I understand that should my Personal Trainer become ill or is away on holiday, another trainer will be assigned to me so that my fitness progress does not suffer. I have read and understand this term: *YESNO9 - I understand that Blood Sweat Train photographs many of their client events/sessions and I provide Blood Sweat Train the absolute right and permission to use these pictures/images for any lawful promotional, advertising or marketing purpose. I have read and understand this term: *YESNOI have read this Release and Terms of Agreement and I understand all of its terms. I sign it voluntarily and with full knowledge of its significance. SignatureStart signing your signature hereYour browser does not support e-Signature field.Signature of client (or guardian if applicable).SubmitPlease do not fill in this field.