LIVVY CHOO FITNESS
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$300.00 for 12 Sessions
Personal Training Consent Form for Minors
(For Athletes Under 18 Years of Age)
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Indicates required field
Please choose the program that best fits your child's sport:
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Football Fit: Strength building, muscular frame development, quick agility, and explosiveness.
Volleyball Fit: Balanced leg and arm strength, increased vertical jump, faster reflexes, and improved lateral speed.
Basketball Fit: Stronger physique, enhanced vertical jump, increased power, and faster take-off speed.
Softball/Baseball Fit: Full-body strength, speed enhancement, throwing power, and improved swinging strength.
Athlete's Name
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First
Last
Date of Birth
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Age
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Parent/Guardian Name
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First
Last
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Relationship to Athlete
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Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
1. Does the athlete have any pre-existing medical conditions (e.g., asthma, diabetes, heart conditions)?
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Yes
No
If yes, please explain:
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2. Is the athlete currently taking any medications?
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Yes
No
If yes, list medications
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3. Does the athlete have any allergies?
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Yes
No
If yes, please list:
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4. Has the athlete been cleared by a physician to participate in physical activities?
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Yes
No
Please upload the most recent health and sports physical clearance form for the athlete.
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Max file size: 20MB
Informed Consent, Acknowledgment and Waiver
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Voluntary Participation: I consent for my child to participate in personal training sessions provided by the trainer listed above. I understand that participation in physical exercise and athletic activities involves inherent risks, including but not limited to muscle soreness, sprains, injuries, and, in rare cases, more serious health concerns.
Health Assurance: I confirm that my child is in good health and has been cleared by a medical professional to participate in personal training sessions.
Liability Waiver: I understand that the trainer and business are not liable for any injury or health condition that may occur during training sessions, except in cases of gross negligence or willful misconduct.
Emergency Authorization: In the event of an emergency, I authorize the trainer to seek medical treatment for my child. I agree to be responsible for any costs incurred.
Media Release: (Optional) I give permission for my child to be photographed or recorded during training sessions for promotional purposes.
Cancellation Policy: I understand and agree to the cancellation policy set forth by the trainer/business, including any applicable fees for missed sessions without proper notice.
LIABILITY WAIVER I UNDERSTAND THAT LIVVY CHOO FITNESS INCLUDES EXPLOSIVE PHYSICAL MOVEMENTS AS WELL AS AN OPPORTUNITY FOR RELAXATION, STRESS RE¬EDUCATION AND RELIEF OF MUSCULAR TENSION. AS IS THE CASE WITH ANY PHYSICAL ACTIVITY, THE RISK OF INJURY, EVEN SERIOUS OR DISABLING, IS ALWAYS PRESENT AND CANNOT BE ENTIRELY ELIMINATED. IF I EXPERIENCE ANY PAIN OR DISCOMFORT, I WILL LISTEN TO MY BODY, DISCONTINUE THE ACTIVITY, AND ASK FOR SUPPORT FROM THE INSTRUCTOR. I WILL CONTINUE TO BREATHE SMOOTHLY AND MODIFY THE EXERCISES. I ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, WHICH MAY INCUR THROUGH PARTICIPATION. THE FITNESS WORKOUT IS NOT A SUBSTITUTE FOR MEDICAL ATTENTION, EXAMINATION, DIAGNOSIS OR TREATMENT. LIVVY CHOO FITNESS WORKOUT IS NOT RECOMMENDED AND IS NOT SAFE UNDER CERTAIN MEDICAL CONDITIONS. BY AGREEING, I AFFIRM THAT I AM IN GOOD HEALTH AND PHYSICAL CONDITION TO PARTICIPATE IN SUCH A FITNESS PROGRAM. IN ADDITION, I WILL MAKE THE INSTRUCTOR AWARE OF ANY MEDICAL CONDITIONS OR PHYSICAL LIMITATIONS BEFORE CLASS. MY AGREEMENT VERIFIES THAT I HAVE MY PHYSICIAN'S APPROVAL TO PARTICIPATE. I ALSO AFFIRM THAT I ALONE AM RESPONSIBLE TO DECIDE WHETHER TO PRACTICE LIVVY CHOO FITNESS WORKOUT AND PARTICIPATION IS AT MY OWN RISK. I HEREBY AGREE TO IRREVOCABLY RELEASE AND WAIVE ANY CLAIMS THAT I HAVE NOW OR MAY HAVE HEREAFTER AGAINST LIVVY CHOO FITNESS AND IT'S INSTRUCTORS * I have read and fully understand and agree to the above terms of this Liability Waiver Agreement.
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I understand and agree to all.
Signature
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Date
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Submit
$300.00 for 12 Sessions
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