Client Release

By & Between Extreme Athletes Personal Training, Inc. and


Even when performed appropriately and under proper supervision, there are inherent risks in any exercise program. As a condition of your participation with Extreme Athletes Personal Training, Inc., you are knowingly assuming these risks.

This form is an important legal document. It is critical that you read and understand it completely. After you have done so, please initial where appropriate, print your name legibly, and sign in the space provided at the bottom.


Assumption of Risk
I have been informed by Extreme Athletes Personal Training, understand, and am aware that strength, flexibility, and aerobic exercises, including the use of equipment, are potentially hazardous activities. It is not possible to specifically list each and every individual injury risk. However, fitness activities do involve risk of injury including: bodily injury, alteration in blood pressure or heart rate, fainting, heart attack, stroke, and a remote risk of serious disability or death. I hereby agree to expressly assume and accept any and all risks of injury or death.

I have read and understand the above information

I do hereby further declare to Extreme Athletes Personal Training that I am physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation or use of equipment or machinery. I also acknowledge that Extreme Athletes Personal Training, Inc. recommends that I have yearly or more frequent physical examinations and consultations with my physician as to physical activity, exercise, and use of exercise equipment. I acknowledge that I have either had a physical examination and have been given my physician's permission to participate, or that I have decided to participate in the exercise activities, programs, and use of equipment without the approval of my physician and hereby assume all responsibility for my participation in said activities, programs, and use of equipment. I agree to advise Extreme Athletes Personal Training, Inc. in writing if my physician advises me to stop, reduce, or otherwise adjust my exercise routine.

I have read and understand the above information

I understand that providing and maintaining an exercise and fitness program for me does not in any way constitute an acknowledgement, representation, or indication of my physiological well-being, or a medical opinion relating thereto by Extreme Athletes Personal Training

I have read and understand the above information

Indemnification and Waiver of Liability 
In consideration of gaining access to participate in the personal fitness training activities and programs with Extreme Athletes Personal Training. and the use of Extreme Athletes Personal Training facilities, equipment, and services, I do hereby waive, release, and forever discharge Extreme Athletes Personal Training., and its officers, employees, representatives, agents, contractors, officers and directors from any and all responsibilities or liability for injuries or damages resulting from my participation in any activities in said program.

I have read and understand the above information

Further, I do hereby and forever release, discharge and hold harmless Extreme Athletes Personal Training., and its respective agents, assigns, contractors, employees, officers and directors from any and all claims, demands, damages, rights of action, or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom. This waiver and release of liability includes, but is not limited to, injuries which may occur as a result of: equipment that may malfunction or break; any slip, fall, or dropping of equipment; unintentional oversight or negligent instruction or supervision; participation in group activities related to fitness; incidents which occur within the institution facility and other areas associated with Extreme Athletes Personal Training.; fitness related evaluations.

I have read and understand the above information

I also understand that an emergency protocol has been planned by Extreme Athletes Personal Training. In the event an emergency situation occurs, I am financially responsible for any emergency services that may be necessary.

I have read and understand the above information

Informed Consent
I understand the policies and procedures set forth by Extreme Athletes Personal Training., and I have had the opportunity to discuss my specific needs in relation to the participatory activity. I have also had an opportunity to ask questions. Any questions that I have asked have been answered to my complete satisfaction.

I have read and understand the above information

I am voluntarily participating in a program of physical exercise under the direction of Extreme Athletes Personal Training., which will include, but may not be limited to, weight and/or resistance training and aerobic activities with full knowledge, understanding, and appreciation of the dangers involved.

I have read and understand the above information

I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

I have read and understand the above information

The information provided by Extreme Athletes Personal Training., related to good and human nutrition is not intended to be used for the diagnosis or treatment of any health problem or as a substitute for consulting a licensed health professional.

I have read and understand the above information

I fully understand the risks and waivers set forth herein, have had the opportunity to have this document reviewed by counsel of my choice, and knowingly agree to accept full responsibility for my own exposure to such risks and to waive full responsibility and liability on behalf of Extreme Athletes Personal Training. I acknowledge that I have thoroughly read this waiver and release, and by signing this document, I am waiving any right I, or my heirs, successors or assigns, might have to bring a legal action or assert a claim against Extreme Athletes Personal Training., for negligence or that of its employees, agents, or contractors

I have read and understand this entire document.