LIABILITY

TRAINER’S RELEASE OF LIABILITY

This form must be completed before receiving you fitness or nutrition plans

First name

Last name

Phone

I. THE PARTIES. This Informed Consent and Assumption of Risk and Release of Liability (“Release”) is made on the Effective Date of this Agreement and entered between:

Client

with a mailing address of

Address

(“Client”) and Personal Trainer – company B3 Coaching:

Amy Lang with a mailing address of 8085 Southwood Road,

Halfmoon Bay BC V7Z1A7 (“Personal Trainer”).

II. INFORMED CONSENT. The Client acknowledges, certifies, and accepts the following:

(Check where applicable)

Physical Condition. That they are of adequate physical condition to participate in exercise despite any current medical conditions they may possess.

Assumption of Risk. That they assume the risk of physical injury from any advice, instruction, or action conducted during or as a result of a session with or programed by the Personal Trainer.

Reporting Discomfort. That any discomfort, distress, or uncomfortable feelings will be immediately brought to the attention of the Personal Trainer.

Indemnification. That they will NOT hold the Personal Trainer, B3 Coaching, affiliates, agents, or any other entity or individual connected to them, either directly or indirectly, liable for any result from the sessions, training plans or guidance provided.

Responsibility. That they, the Client, assume all responsibility for a Client’s participation in the sessions and training plans provided.

Your Signature

Date required

Client

Thank you for submitting