Coral Gables, FL

ASSUMPTION OF RISK;
WAIVER AND RELEASE OF RIGHTS AND CLAIMS
I recognize and acknowledge that as a recipient of the personal training services provided by the Prince Fitness LLC I and/or my minor/ward will periodically engage in strenuous physical activities involving the use of weight training and other exercise equipment such as treadmills, free weights, elliptical machines, exercise bikes, chest presses and squat racks among other equipment, which activities entail the risk of serious and other injuries, including, but not limited to: broken bones, strains, sprains, bruises, concussions, heart attack, viral or other pathogen infection, and in some cases, permanent disability and even death. I also understand that severe social and economic loss might result not only from my own actions but also from the actions, inactions or negligence of others, or the condition of the premises or equipment used in connection with such activities. Nevertheless, I agree to assume the risk of injury, damage, or loss regardless of severity that I, my minor/ward, or other family member or kin may sustain as a result of the activities I engage in as the personal training services provided by Prince Fitness LLC.
By filling out your phone number and email address you agree to be included in Prince Fitness LLC text messaging and emailing services. These services are setup to alert you of updates, services, features and emergency notifications. You may opt-out of these services at any time by choosing the opt-out link (email) or texting STOP (text messages).

Accordingly, I agree to waive, relinquish, discharge, release, and covenant not to sue Prince Fitness LLC or its parent, sister, affiliated and/or subsidiary corporations and related entities, their members, owners, officers, directors, partners, employees, consultants, contractors, advisors, agents, insurers, attorneys and volunteers, from any and all rights, claims of injury, demands, causes of action, damages, liabilities or loss that I, my minor/ward, or other family member may have or that may accrue to me, my minor/ward, or other family members arising out of, connected with, or in any way associated with the personal training services provided by the Prince Fitness LLC. Notwithstanding the foregoing and any other provision of this Agreement, I do not waive any rights that I may seek redress due to the reckless conduct of others or due to the conduct of others, which is both intentional and wrongful.

I have considered that if this Agreement were not as broad as it is, the cost of the personal training services provided to me and/or my minor/ward by Prince Fitness LLC would be considerably higher and I do not wish to pay a considerably higher cost. By signing this Agreement, I waive the right to bargain for different terms in this Agreement. I also understand that if I later learn that any fact that I believed to be true at the time I signed this Agreement is later to be found incorrect, I nevertheless am bound by this Agreement.

In no event shall we be liable for any cause of action, claim, damage, demand, expense, fine, investigation, liability, or penalty in excess of the amounts that you paid to us in the preceding 12 months, whether one time or in the aggregate.

You agree to defend, hold harmless, and indemnify us for any of your negligent or reckless acts or omissions. You warrant and represent that you have no medical or other condition, which would prohibit you from participating in any of our programs.

This Agreement constitutes the entire agreement between the Parties on the issues contained in this Agreement and supersedes all prior agreements and/or memoranda. This Agreement may only be modified in writing with the written consent of both Parties. This Agreement is intended to bind only the Parties hereto, and their successors, and may not be assigned by either Party without the express written consent of the other.

This Agreement shall be governed by the laws of the State of Florida. All Parties irrevocably consent that the venue and jurisdiction of any dispute shall lie in the Miami-Dade District Court, Miami-Dade Superior Court, or the United States District Court for the Miami-Dade Circuit Court of Florida as applicable. In the event that a court determines that any provision of this Agreement is invalid, all other provisions shall survive and the Agreement shall be interpreted to fulfill the intent of the Parties as shown in this Agreement.

I have read this Agreement thoroughly and fully understand it. I enter into it voluntarily on behalf of myself, my spouse, my heirs, next of kin, assigns, personal representatives, related individuals and related entities. No one has made to me any representations statements, or inducements that change or modify anything written in this Agreement.

Name____________________________

DOB_____________________________

Signature_________________________

Date_____________________________

Burn Boot Camp Client PAR-Q

YES [] NO []
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
YES [] NO []
2. Do you feel pain in your chest when you do physical activity?
YES [] NO []
3. In the past month, have you had chest pain when you were not doing physical activity?
YES [] NO []
4. Do you lose your balance because of dizziness, or do you ever lose consciousness?
YES [] NO []
5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
YES [] NO []
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
YES [] NO []
7. Do you know of any other reason why you should not do physical activity?

If you answered YES to one or more questions:
Talk with your doctor by phone or in person BEFORE you start becoming more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and to which questions you answered YES. You may be able to do any activity you want – as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. Find out which community programs are safe and helpful for you.

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
Start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go. Take part in a Focus Meeting– this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.

PLEASE NOTE:
If your health changes so that you then answer YES to any of the above questions, tell your Burn Trainer. Ask whether you should change your physical activity plan.

DELAY BECOMING MUCH MORE ACTIVE:
If you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or if you are or may be pregnant – talk to your doctor before you start becoming more active.

Name________________________

DOB_________________________

Email________________________

Phone________________________

City__________________________

State_________________________

Zip___________________________

Trail Start Date_________________

Trial End Date__________________

Signature______________________

Date__________________________