Class Waiver

Here you will find the waivers required for ChickFit programs.

Please complete the form above and print the form below and bring to your next session.

Waiver and Release of Liability

 

I, _____________________________, intending to be legally bound, and recognizing the danger involved in physical exercise, do agree as follows:

In consideration for the services rendered by, The Chickfit Studio LLc, Linda Mitchell, Certified Personal Trainer, Rebecca Heck Certified Personal Trainer, Susan Eling Certified Personal Trainer, or Jeanette Allen Certified Personal Trainer, in the establishment of a personal physical-fitness program for my benefit, I agree to waive any rights, claims, or damages for injuries which may occur as a result of my participation in said fitness/nutrition program.

I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program.

I understand that Linda Mitchell, Rebecca Heck, Susan Eling, and Jeannette Allen are Certified Personal Trainer and not a medical doctors, and that she will in fact be relying on my representations and disclosures regarding my health and physical condition.

I also do not hold the aforementioned institutions liable for any personal injuries, bodily injuries, or property damage while going to and from the aforementioned property.

 

The Chickfit Studio LLC Personal Training diet programs are solely intended to assist client with their body re-composition (loss of body fat and/or Increase lean muscle mass.) not treat medical/nutritional concerns.  If these concerns exist then physician approval for nutrition guidance is recommended.  You must be 18 years of age or older, otherwise written parental permission must be given.

 

I understand the above and the information provided to me is intended only for my stated body reshaping (re-composition) goals.  I further understand that it is my responsibility-decision to obtain medical approval for participation in nutritional program given by Linda Mitchell I agree to assume risk of contracted service indicated and further agree to hold harmless Linda Mitchell and any affiliated staff from any and all claims that may result in morbidity or mortality, accidental, or otherwise, during, or arising in any way from, contracted service.

 

 

Signature_____________________              Date________________

 

Personal Trainer Signature______________   Date________________