The Athlete Matrix is excited to help you with strength, conditioning, and injury preventative training. Could you please fill out the questionnaire and liability form below to secure your registration. If the athlete is under 18 years of age the parent/guardian needs to fill out the questionnaire and liability form on behalf of the athlete.
By accepting these terms , I agree that I have read and understand the below waiver.
I wish to participate in the strength and conditioning program offered by The Athlete Matrix. I understand there are risks in participating in a program of strenuous exercise. I have been examined by a physician of my choice in the last (60) days and have obtained his/her approval. No change has occurred in my physical condition since the date of approval. If a physician has not examined me, I agree to see a physician within (60) days set forth below to obtain his/her approval for my participation in a strength and conditioning program.
I agree that The Athlete Matrix shall not be liable or responsible for any injuries to me resulting from my participation in a strength and conditioning program. I release and discharge The Athlete Matrix and its owners and employees 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 a strength and conditioning program, excepting only an injury caused by gross negligence or intentional act and such person(s). This release shall be binding upon my heirs, executors, administrators and assigns.
I understand that I am not obligated to perform in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during the strength and conditioning program. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop activity immediately and inform a The Athlete Matrix employee. I understand that during my strength and conditioning program, a The Athlete Matrix employee may use touch training to correct alignment in my posture. If I feel uncomfortable or experience any type of discomfort with touch training, I will immediately request the the employee discontinue using the technique.
I understand that The Athlete Matrix may photograph and/or film their members training sessions/events for promotional purposes via marketing/website. I agree to allow them to use these photographs and/or films of me. I understand that during the course of my training at The Athlete Matrix, I may be asked to run, carry weights, or perform other physical activities outside of the facility, and that I am not obligated to perform these activities if I do not feel safe or comfortable doing so. I agree that should I choose to undertake activities outside of the gym facility, The Athlete Matrix is not liable or responsible for any injuries that result from my doing so.
By registering, you also agree to receive emails from The Athlete Matrix.
Today's Date: November 22, 2019