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MOVE ACADEMIA INC

635 Middle Country Road, Coram, NY 11727 • (631) 846-1509 • dbatista1992@gmail.com

PERSONAL TRAINING PARTICIPATION AGREEMENT, ASSUMPTION OF RISK, WAIVER & RELEASE OF LIABILITY

DRAFT v2 — July 22, 2026 — venue confirmed — for review by New York counsel before use

PLEASE READ THIS ENTIRE DOCUMENT CAREFULLY BEFORE SIGNING. IT AFFECTS YOUR LEGAL RIGHTS AND INCLUDES AN ASSUMPTION OF RISK AND A RELEASE OF LIABILITY.

1. Parties; Purpose

This Personal Training Participation Agreement, Assumption of Risk, Waiver and Release of Liability (this “Agreement”) is entered into between Move Academia Inc, a New York corporation with its principal place of business at 635 Middle Country Road, Coram, New York 11727 (“Move Academia”), and the participant identified below (the “Participant”). If the Participant is under 18 years of age, or is an adult for whom a parent holds legal decision-making authority or for whom a legal guardian has been appointed (including, without limitation, a guardian appointed under Article 17-A of the New York Surrogate's Court Procedure Act), this Agreement must be reviewed and signed by that parent or legal guardian (the “Guardian”), who agrees to this Agreement on the Participant's behalf and in the Guardian's individual capacity.

2. Instructional Nature of Services

Move Academia is a personal training and movement-education studio. The Participant is enrolling to receive individualized, instructor-led training and education, which may include: warm-up, stretching, and mobility instruction; movement practice and coordination training; strength-training instruction (including push, pull, leg, and core work); guided use of exercise equipment such as free weights, kettlebells, resistance bands, and machines; and related nutrition and wellness education. All fees paid to Move Academia are paid for instruction and coaching in these skills. Every session is supervised by a trainer and adapted to the Participant's individual abilities, needs, and goals.

3. Voluntary Participation; Assumption of Risk

The Participant's participation is entirely voluntary. The Participant (and Guardian, if applicable) understands that physical exercise and training — even when properly instructed and supervised — involve inherent risks that cannot be eliminated, including but not limited to: muscle soreness, strains, sprains, and tears; injuries to bones, joints, ligaments, and tendons; bruises, cuts, and abrasions; slips, trips, and falls; injuries arising from the use of exercise equipment; incidental physical contact with a trainer for spotting, form correction, or assistance; dizziness, fainting, or heat-related illness; aggravation of pre-existing conditions; and, in rare cases, serious events such as heart attack, stroke, paralysis, or death.

THE PARTICIPANT (AND GUARDIAN, IF APPLICABLE) KNOWINGLY AND VOLUNTARILY ASSUMES ALL RISKS INHERENT IN PHYSICAL TRAINING AND EXERCISE, WHETHER KNOWN OR UNKNOWN, ARISING OUT OF OR RELATED TO THE PARTICIPANT'S PARTICIPATION AT MOVE ACADEMIA.


4. Health Representations; Medical Advice

The Participant (or Guardian) represents that, to the best of their knowledge, the Participant is physically able to participate in a personal training program and that the health-screening questions accompanying this Agreement have been answered truthfully and completely. Move Academia's trainers are not physicians and do not provide medical advice, diagnosis, or treatment. The Participant is strongly encouraged to consult a physician before beginning this or any exercise program, and should do so before participating if any health-screening question was answered “Yes.” The Participant (or Guardian) further agrees to: (a) promptly inform Move Academia of any new or changed medical condition, injury, medication, or physical limitation; and (b) stop activity and alert the trainer immediately if the Participant experiences pain, chest discomfort, dizziness, shortness of breath, or anything else unusual during a session. 


5. Release and Waiver of Liability

In consideration of being permitted to participate in Move Academia's training programs, and to the fullest extent permitted by applicable law, the Participant (and Guardian, individually and on the Participant's behalf) hereby releases, waives, and forever discharges Move Academia Inc and its owners, officers, directors, employees, trainers, independent contractors, agents, and representatives (collectively, the “Released Parties”) from any and all claims, demands, causes of action, damages, losses, costs, and expenses (including reasonable attorneys' fees) arising out of or related to the Participant's participation in training sessions, programs, or related activities, including claims based on the ordinary negligence of any Released Party.

Nothing in this Agreement releases any party from liability for gross negligence, recklessness, or intentional misconduct, and nothing in this Agreement waives any right that cannot be waived under applicable law. If any portion of this Section is held invalid or unenforceable, it shall be limited or severed only to the minimum extent necessary, and the remainder of this Agreement — including the assumption of risk in Section 3 — shall remain in full force and effect. 


6. Indemnification

The Participant (and Guardian) agrees to indemnify and hold harmless the Released Parties from and against any claim, loss, damage, or expense (including reasonable attorneys' fees) arising out of the Participant's own acts or omissions, the Participant's violation of studio rules or trainer instructions, or any breach of the representations made in this Agreement.

7. Medical Emergency Authorization

If the Participant becomes ill or is injured during a session, the Participant (and Guardian) authorizes Move Academia to administer or obtain basic first aid and, if reasonably necessary, to contact emergency medical services and consent to emergency medical treatment and transportation on the Participant's behalf until the Guardian or the emergency contact listed below can be reached. All costs of medical care and transportation are the responsibility of the Participant and/or Guardian. 


8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

9. Term; Annual Renewal; Program Enrollment

This Agreement takes effect on the date signed and remains in effect for twelve (12) months, covering all training sessions and programs in which the Participant enrolls during that period. A renewed Agreement (with updated health screening) must be signed annually, and upon enrollment in a new program if requested by Move Academia. If the Participant is a minor, this Agreement terminates as to future sessions when the Participant turns 18, at which point the Participant must sign a new Agreement as an adult.

10. Studio Rules; Conduct

The Participant agrees to follow posted studio rules and the trainer's instructions, to use equipment only as directed, to wear appropriate athletic attire and closed-toe athletic footwear, and to treat staff and other clients with respect. Move Academia may pause, modify, or discontinue a session or program at any time for safety reasons.

11. General Provisions

This Agreement is governed by the laws of the State of New York. Any dispute arising out of this Agreement or the Participant's participation shall be brought exclusively in the state courts located in Suffolk County, New York. If any provision of this Agreement is held invalid, the remaining provisions remain in full force and effect. This Agreement is the entire agreement between the parties regarding its subject matter and supersedes any prior understandings on that subject. The parties agree that this Agreement may be completed, signed, and delivered electronically (including through the Smartwaiver platform), and that an electronic signature has the same force and effect as an original ink signature.

ACKNOWLEDGMENT AND SIGNATURE

I have read this entire Agreement, I understand it, and I sign it freely and voluntarily. I acknowledge that I have had the opportunity to ask questions before signing.

A. ADULT PARTICIPANT (age 18 or older, signing for yourself):

B. PARENT OR LEGAL GUARDIAN — complete this section if the Participant is under 18, OR is an adult for whom you are the parent with legal authority or the court-appointed legal guardian:

By signing below, I represent and warrant that I am the Participant's parent or legal guardian with full legal authority to sign this Agreement on the Participant's behalf, and I agree to this Agreement both on the Participant's behalf and in my individual capacity.

Date: September 9, 2026

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Do you have any medical conditions, injuries, or physical limitations that could affect exercise?*
No
Yes

Please describe any conditions, injuries, medications, or doctor-ordered restrictions (write NONE if none).
Has a doctor ever advised the participant to avoid or limit physical activity?*
No
Yes
Does the participant experience chest pain, dizziness, or shortness of breath during physical activity?*
No
Yes

8. Photo & Video Release (Optional)

Move Academia occasionally photographs and video-records sessions and events for marketing purposes, such as flyers, its website, and social media. This consent is optional, and declining it does not affect the Participant's ability to train at Move Academia. Consent may be revoked at any time by written notice to Move Academia (revocation applies to future uses only). If consent is given, the Participant (and Guardian) grants Move Academia the right to use the Participant's image, likeness, and voice in Move Academia's marketing materials, without compensation.

Photo/Video consent (Section 8): Do you consent to Move Academia using the participant's image in marketing?*
NO, I do not consent
Yes, I consent
Who is completing this waiver?*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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