Fitness Short Waiver

Before participating in any programs with A Healthy Balance, Inc. we ask that all participants please complete the following questionnaire. This lets our trainers know if there is anything they should be aware of to help you maximize your exercise efforts!  All information and responses are managed and evaluated by A Healthy Balance, Inc. as a third party wellness partner will be kept confidential. 
We are looking forward to working (out) with you!!

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* 1. Name and Email Address

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* 2. Date of Birth (enter as dd/mm/yyyy)

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* 3. Would you like to learn more about any of our services?

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* 4. Please let us know if you have any other comments or questions prior to participation in AHB's short term online fitness program.

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* 5. How did you hear about AHB's virtual classes?

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* 6. Sign me up for AHB's Newsletter

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* 7. Please sign below.

You should receive clearance from your physician prior to engaging in any fitness programming.

I do hereby acknowledge that participation in Fitness Assessments, Consultations, Personal Training, Group Fitness Classes and virtual Group Fitness with A Healthy Balance, Inc. involves risk of injury and that as a condition to participation in online fitness programs, I assume full responsibility of such risks. I recognize that fitness programs require physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any fitness program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the fitness programs. I hereby release and hold harmless A Healthy Balance, Inc, its agents, related entities, and employees, from all liability to me, for any loss or damage to me, and forever give up any claims therefore on account of injury to my person or property whether caused by the active or passive negligence of A Healthy Balance Inc. 

By signing below you acknowledge that you have read, understand and agree to A Healthy Balance, Inc's group fitness liability waiver.

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