Signup

{name}
{dob}
{address}

BECAUSE THERE ARE INHERENT RISKS TO EXERCISE, WE RECOMMEND THAT YOU TALK WITH YOUR DOCTOR PRIOR TO STARTING OUT ON AN EXERCISE PROGRAM.

I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in a physical activity.

I, the undersigned, understand that all information and services provided by Ex3 Personal Training & Fitness, LLC is of a general nature and is provided for educational purposes only. None of the information or services provided by Ex3 Personal Training & Fitness, LLC is to be taken as medical or other health advice pertaining to any specific health or medical condition that I may have or have had. The information and services provided by Ex3 Personal Training & Fitness, LLC is not a diagnosis, treatment plan, or recommendation for a particular course of action regarding my health and is not intended to provide specific medical advice.

I, the undersigned agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program/personal training. Having such knowledge, I hereby acknowledge this release, any representatives, agents, and successors from liability for accidental injury or illness, which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.

Signed: {sign_date}