1. I wish to participate in the exercise and training program offered by RYU 12 Inc. doing business as Naturally Intense Personal Training (hereafter named as Naturally Intense Personal Training.) I understand there are inherent risks in participating in a program of strenuous exercise; consequently, I have been examined by a physician of my choice and have obtained his/her approval for my participation in a fitness program within sixty (60) days of the date set forth below. No change has occurred in my physical condition since the date such approval was given which might affect my ability to participate in the fitness program. If a physician has not examined me, I agree to see a physician within sixty (60) days of the date set forth below to obtain his/her approval for my participation in a fitness program. If I choose not to see a physician prior to beginning a fitness program, I do so strictly at my own risk and against recommendation of our company. I further agree that Naturally Intense Personal Training (RYU12 Inc), its owners, employees, agents and/or assigns shall not be liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at home, at the training studio, outdoors, or at a corporate, commercial, residential or other fitness facility), and I expressly release and discharge Naturally Intense Personal Training (RYU12 Inc), its owners, employees, agents and/or assigns from all claims, actions, judgments and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program. This Release shall be binding upon my heirs, executors, administrators, and assigns.
2. I understand that Naturally Intense Personal Training (RYU12 Inc) will make every reasonable effort to preserve the privacy of the information contained in this Client Information Questionnaire. I further agree that Naturally Intense Personal Training (RYU12 Inc) shall not be liable or responsible to me for any inadvertent disclosure of the information contained in the Client Information Questionnaire and I expressly release and discharge Naturally Intense Personal Training (RYU12 Inc) , its owners, employees, agents and/or assigns from all claims, actions, judgment and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any damage which may occur in connection with disclosure of private information contained in the Client Information Questionnaire. This release shall be binding upon my heirs, executors, administrators and assigns.
3. I certify that the answers to the questions outlined on the PAR-Q form are true and complete to the best of my knowledge. I acknowledge that medical clearance is requested if I have answered “Yes” to any of the questions on the PAR-Q form. I understand and agree that it is my responsibility to inform all employees of any conditions or changes in my health, now and on going, which might affect my ability to exercise safely and with minimal risk of injury.
4. I understand that the personal training service operates on a scheduled appointment basis for all sessions and thus requires that I provide 24 hours’ notice when canceling an appointment. Should I cancel a session with LESS than 24 hours’ prior notice, I will be charged in full for that session.
5. I understand that during a Personal Training or Group Training session, my trainer/instructor may have to touch my muscles or joints to correct alignment and/or to focus my concentration on a particular muscle area to be targeted. If I feel uncomfortable or experience any type of discomfort with this form of touch, I will immediately request that it be discontinued.
6. I understand that the usage of any nutritional supplements is done under my own will and has not been prescribed by our staff.
I have read this Release and Terms of Agreement and I understand all its terms. I sign it voluntarily and with full knowledge of its significance and agree to be bound by its terms.
