Contact Information

Contact in case of emergency

Client Stats

Mindset and Goals

General Health

Training

Nutrition

Client

By signing this form, I certify that I have fully disclosed all pertinent information in an honest and truthful manner.

RELEASE OF LIABILITY, WAIVER OF CLAIMS,ASSUMPTION OF RISKS AGREEMENT

I   the undersigned, waive all rights for myself, my heirs, successors, executors, administrators and assigns, and release Alien Fitness Inc., its employees, agents and contractors, from all claims, without limitation for any and all personal injuries suffered by me as a result of my participation in any event(s) within the Fitness and or Dietary Activities.

I   aware that the physical exertion required of the fitness activities and the forces exerted on the body can activate or aggravate pre-existing physical injuries, conditions, symptoms or congenital defects. I have been advised to seek medical advice prior to participating in any and all Fitness related and Dietary Activities. I   have no reason to believe that my physical condition may be incompatible with such activities.

I   freely accept and fully assume all risks, dangers and hazards associated with the fitness and dietary activities and the possibility of personal injury, death, property damage or loss resulting therefrom.

I   ALSO ACKNOWLEDGE THAT SHOULD I SUFFER PERSONAL INJURY WHILE PARTICIPATING IN ON SITE FITNESS ACTIVITIES THAT WORKERS’ COMPENSATION COVERAGE WILL NOT APPLY.