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LaurynMaeMove PT Disclaimer
Client Full Name, DOB, Contact Number & Email Address, Emergency Contact Full Name & Contact Number
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1.
Health declaration - I confirm that i am voluntarily participating and have disclosed any medical conditions
(Required.)
Agree
Disagree
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2.
Assumption of Risk - I understand exercise involves risks including injury or health complications and I assume full responsibility
(Required.)
Agree
Disagree
*
3.
Liability Waiver - I release the trainer from all liability for injuries or damages resulting from participation
(Required.)
Agree
Disagree
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4.
Personal Responsibility - I agree to follow instructions and inform the trainer of any discomfort
(Required.)
Agree
Disagree
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5.
No Guarantee Of Results - I understand results are not guaranteed
(Required.)
Agree
Disagree
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6.
Consent To Physical Contact - I consent to necessary physical contact for training purposes
(Required.)
Agree
Disagree
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7.
Media Release - I agree to photo/video use for promotional purposes
(Required.)
Agree
Disagree
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8.
Cancellation Policy - A minimum of 12 hours' notice is required to cancel or reschedule a session. Failure to do so may result in the full session fee being charged
(Required.)
Agree
Disagree
*
9.
Agreement - I have read and agree to this waiver. Please date and sign below to confirm
(Required.)