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Momentum Fitness Training Waiver

Medical & Promotional Release of Liability


By signing this waiver below, I hearby acknowledge and accept the potential risk of training under Momentum Fitness Training.

I acknowledge that while training is being conducted, there may be an instance (through no fault of his/her own) that the athlete or client may become injured for a multitude of reasons that may be inevitable. Under no circumstance whether found to be intentional, unintentional or negligence can the client, athlete, or parent of a client/athlete hold Momentum Fitness Training or any of their employees, partners or colleagues responsible for any reason.

I declare I am in good health and suffer from no underlying health or visible deficiencies which have not already been previously disclosed.

I understand that I have the option to posses full and complete medical insurance coverage if necessary. I also understand the potential risk of opting out of carrying my own medical insurance coverage. I acknowledge and accept that Momentum Fitness Training is not responsible for rendering any medical services if an instance should arise where medical attention is needed. 

By signing this document, I agree to being advised, trained, educated, coached and directed by Momentum Fitness Training in either a in-person or online training setting.  

I hereby, intending to be legally bound for myself,  executors or administrators and/or guardian of my son/my daughter/my ward specifically agree that Momentum Fitness Training and the lead officer shall not be liable for any claims, demands, cause of action of any kind whatsoever for, or on account of death, physical injury, illness, property damage or loss of any kind when involved in training activity, whether virtual, in-person or outside. I am fully aware and in agreement with footage being taken when training is conducted. I comply that for any and all injuries or illness I may suffer under any circumstances, is not due to claims arising from the negligence of Momentum Fitness Training or its principles.




Please select who will be participating...
AdultMinor
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First Client's Name
First Name*
Middle Name
Last Name*
Phone*
First Client's Date of Birth*
Date of Birth
First Client's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
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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