AFPS Health and Fitness Liability Waiver/ Informed Consent Form
Health and Fitness Liability Waiver/ Informed Consent Form
“I have enrolled a health and fitness program offered through Alliance Fitness Professional Services (doing business as AFPS). I recognize 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 so not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I acknowledge that my enrollment and subsequent participation is purely voluntary and is no way mandated by AFPS.”
“In consideration of my participation in this program, I hereby release Alliance Fitness Professional Services and agents of AFPS, contractors, from any claims demands, and causes of action as a result of my voluntary participation and enrollment.”
“I fully understand that I may injury myself as a result of my enrolment and subsequent participation in this program and I hereby release Alliance Fitness Professional Services and its agents, contractors, from any liability now or in the future for any conditions that I may obtain. These conditions may include but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to the knee, injuries to back, injuries to foot, or any other illnesses or soreness that I may incur, including death.”
I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.
AGREEMENT AND CONTRACT
This agreement is to ensure an understanding of the terms and the conditions of compensation regarding the services of ALLIANCE FITNESS PROFESSIONAL SERVICES.
A time limit for the selected number of sessions are as follows: ten sessions are to be completed within 30 calendar days, 20 sessions are to be completed within 60 calendar days and 30 sessions within 90 calendar days. Failure to make use of the personal training does not entitle the purchaser to a refund in part or in whole or relieve the purchaser of the obligation of payment for all fees or balances due at the time and in the amount agreed. This agreement is non-refundable and non-transferable unless otherwise stipulated on this agreement.
Payments are due in full on or before the first scheduled session. In the event that the payment is not received on or before the first scheduled session, the session will cease until the payment is received in full. All checks are payable to AFPS (Alliance Fitness Professional Services). A $20.00 FEE WILL BE IMPOSED FOR ALL RETURNED CHECKS.
Purchaser is entitled to make-up sessions, provided that your personal trainer receives 24-HOUR ADVANCE NOTICE. Failure to contact the personal trainer within 24 hours will result in a forfeiture of the scheduled session for that day; therefore, no make-up session is allowed. Purchaser must be on time for each workout session. Trainers are required to wait 15 minutes, if purchaser does not arrive on time, the appointment will be considered canceled and there will be no make-up session or refunds.
In case of a medical emergency, the purchaser's fitness program is placed on "HOLD" until the client is able to return to the program with a medical clearance from a physician. ALLIANCE FITNESS PROFESSIONAL SERVICES always recommends that you consult with your physician before beginning any fitness program. This will ensure your health and safety.
I have read and understand the above terms and agreed to the conditions of this personal training contract.