• 1. In consideration of being allowed to participate in the activities, programs, equipment and machinery, in addition to the payment of any fee or charge; I do hereby waive, release, and forever discharge Jennifer Shelton from any and all responsibilities or liability from injuries or damages resulting from my participation in any activities or my use of any equipment or machinery in any activity that Jennifer Shelton recommends. I do also hereby release Jennifer Shelton from any responsibility or liability for any injury or damage to myself.

  • 2. I understand and am aware that strength, flexibility and aerobic exercise, including the use of any equipment, is a potentially hazardous activity. I also understand that fitness activities involve the risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risk of injury and death.

  • 3. I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation or use of equipment or machinery except as hereinafter stated. I do hereby acknowledge that I have been informed of the need for a physician’s approval for my participation in an exercise/fitness activity, or in the use of exercise equipment and machinery. I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity, exercise and the use of exercise and training equipment so that I might have his /her recommendations concerning these fitness activities and equipment use. I acknowledge that I have either had a physical examination and have been given my physician’s permission to participate, or that I have decided to participate in activity and the use of equipment and machinery without the approval of my physician and do hereby assume all responsibility for my participation and activities, and utilization of equipment and machinery in my activities.

  • 4. I agree to pay, in full, all fees and charges agreed upon, prior to services rendered. For any reason a previously set appointment needs to be cancelled by myself, I will call, text or email Jennifer Shelton 24 hours in advance of the previously set appointment. If written or verbal cancellation is not provided 24 hours in advance, I will be responsible for paying for the scheduled appointment.

  • Date Format: MM slash DD slash YYYY