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ASSUMPTION OF RISK, WAIVER, AND RELEASE

TRAINING AND ON-ICE SERVICES AGREEMENT

(Trainer and Client are the “Parties”, and each is a “Party”, under this Agreement).

Client has engaged Trainer to provide fitness training services to Client (the “Services”), and Trainer has agreed

to provide Services to Client, on the following terms:

1. Trainer carries on the business of a fitness trainer as a corporation in the name and style of “DASH

Training” (the “Business”).

2. The Business is principally carried on at Unit A+B, 250021 Mountain View Trail, Rocky View County,

Alberta and at such other on-ice and off-ice locations as Trainer deems appropriate for the provision of

the Services (the “Locations”).

3. Client has engaged Trainer to provide the Services at the Location and, in connection therewith, Client

(for and on behalf of himself/herself and his/her heirs, executors, personal representatives,

administrators, successors and assigns) agrees that:

(a) Trainer will provide the Services to Client to the best of Trainer’s ability having regard to

Trainer’s education, experience and expertise;

(b) Client will pay Trainer for the Services at the rates agreed to by Client and Trainer, which rates

may be adjusted by the Parties from time to time. Payment terms will be in accordance with

Trainer’s invoice to Client;

(c) Client’s participation in the Services is completely voluntary;

(d) the Services may pose certain risks to Client’s physical health however Client assumes the full

risk and responsibility for any injury, illness or other medical condition that Client may sustain

or suffer in the course of, or as a result of, participating in the Services;4. 5. (e) (f) (g) (h) (f) Client has disclosed and will, on an ongoing basis (for so long as Client is participating in the

Services), disclose to Trainer information or concerns about his/her health status including

information concerning any injuries, illnesses or other medical conditions which might affect

Client’s ability to participate in the Services and Trainer agrees to keep all such information

strictly confidential;

Client agrees that he/she is using all fitness training facilities at the Locations, and is accessing

the Locations, at his/her own risk;

Trainer makes no promises or guarantees concerning the results that can be expected by Client

from participating in the Services and Trainer will not be held responsible if the results that

Client realizes from participating in the Services are not as anticipated;

Client hereby waives, releases, discharges, indemnifies and agrees to hold harmless Trainer and

its officers, directors, employees, contractors, representatives, successors and assigns from and

against any and all losses, liabilities, damages, costs, demands, penalties, actions or claims

(known or unknown) which Client has or may have for or in respect of any personal injury,

death, or disability of any person, including Client, or the loss of or damage to any personal

property, including that of Client, however caused, as a result of Client participating in the

Services at the Locations; and

there are no other promises, representations, understandings or agreements between the Parties

with respect to the Services other than as are set out in this Agreement and any changes to this

Agreement must be made in writing and signed by each Party.

Client confirms to Trainer that he/she: (a) has read and fully understands the terms of this Agreement, (b)

understands that he/she is giving up substantial rights by signing this Agreement, and (c) is signing this

Agreement voluntarily and without any inducement or coercion whatsoever.

This Agreement will be governed by the laws of Alberta.

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Athlete's Team
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Athlete's Team
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Athlete's Team
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Athlete's Team
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Athlete's Team
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Athlete's Team
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Athlete's Team
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Athlete's Team
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Athlete's Team
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Athlete's Team
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
HEALTH QUESTIONNAIRE
1. Does the athlete have any current medical conditions? *
2. Has the athlete ever been diagnosed with any of the following? (Check all that apply)
Asthma
Diabetes
Seizures
Heart condition
Allergies (e.g., food, medication, environmental)
Concussion or brain injury
Other, please specify
3. Is the athlete currently taking any medications? Including but not limited to: the use of an inhaler for asthma, epipen for allergies, etc. If athlete has an inhaler or epipen, please bring to all sessions.
4. Has the athlete ever had surgery or a serious injury?
5. Does the athlete have any known allergies?
6. Is the athlete currently receiving care by a physiotherapist, chiropractor or massage therapist?
7. Does the athlete experience any of the following symptoms during physical activity? (Check all that apply)
Chest Pain
Shortness of breath
Dizziness or fainting
Extreme fatigue
8. Does the athlete suffer from any learning disabilities or have a any mental health concerns (i.e anxiety, depression, social-anxiety, etc)?
9. Is there anything our team at DASH can do to help better support your athlete?
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*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Athlete's Team
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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