Liability waiver

This Health Screening, Informed Consent and Liability Waiver (the ‘Agreement’) is made between Sarah Bartholomew (the ‘Trainer’), including any business entity that the Trainer may establish or operate to provide these services, and the individual whose information is provided in the ‘Client Information’ section below (the’Client’). 

Throughout this document, the terms ‘I’, ‘me’, and ‘my’ refer to the Client. 

By signing this Agreement, I acknowledge that the health information provided in the PAR-Q section is accurate and that I voluntarily assume the risks of the services provided by the Trainer.

1. Client Information

• Full Name: 
• Phone Number:
• Email Address: 
• Address:
• Emergency Contact Name:
• Emergency Contact Phone: 

2. Physical Activity Readiness Questionnaire (PAR-Q)

Please answer YES or NO to the following questions. If you answer YES to any question, you may be required to obtain medical clearance from a qualified healthcare professional before participating in physical activity services provided by the Trainer.

• Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
• Do you feel pain in your chest when you do physical activity?
• In the past month, have you had chest pain when not doing physical activity?
• Do you lose balance because of dizziness, or do you ever lose consciousness?
• Do you have a bone or joint problem (e.g., back, knee, hip) that could be made worse by a change in physical activity?
• Has a doctor ever prescribed medication for your blood pressure or heart condition?
• Do you know of any other reason why you should not do physical activity?

If you answered YES to any of the above, please provide details:

3. Health History & Lifestyle Information

To ensure your safety during training sessions, please provide accurate and complete information about your health and lifestyle. 

• Current or past injuries: 
• Chronic conditions (e.g., diabetes, asthma):
• Medications currently taken: 
• Surgeries (past or planned): 
• Pregnancy (current or recent): 
• Smoking status:
• Additional relevant health information:

4. Medical Disclaimer and Emergency Consent

I confirm that the information provided above is accurate and complete to the best of my knowledge. I agree to notify the Trainer promptly if my health status changes in a way that could affect my ability to safely participate in training sessions.

I understand that the trainer is not a medical professional and does not provide medical diagnosis, treatment or medical advice.

I confirm that I have either:

• obtained medical clearance to participate in exercise OR
• chosen to participate without medical clearance and accept full responsibility for this decision.

In the event of injury or medical emergency during training, I authorize the Trainer to seek appropriate medical assistance if necessary.

I understand that I am solely responsible for any medical costs or emergency transportation expenses incurred.

5. Informed Consent and Assumption of Risk

I understand that my sessions with the Trainer will involve physical activity, which carries inherent risks. Thes risks include but are not limited to:

• Muscle soreness, strains, sprains
• Joint injuries
• Cardiovascular complications 
• Dizziness, fainting, or dehydration
• In rare cases, serious injury or death.

I acknowledge and agree that:

• I am voluntarily participating in physical training sessions, group classes and related activities.
• The Trainer has explained the nature and purpose of the training program.
• I may stop or modify any exercise at any time.
• I am responsible for informing the Trainer of any pain, discomfort, injury, or change in health status.
• Any nutrition guidance provided by the Trainer is general, evidence-based guidance and does not replace medical, nutritional, or psychological advice from qualified healthcare professionals. 

I knowingly and voluntarily assume all risks associated with participation in sessions, including individual training sessions, group classes, or any other activity conducted by the Trainer, whether those risks are known or unknown.

6. Release of Liability

To the fullest extent permitted by law, I hereby release, waive and hold harmless the Trainer from any claims, liabilities, demands, damages, or expenses arising from my participation in training services or related activities. 

This includes, but is not limited to, claims related to:

• Personal injury or illness
• Aggravation of existing medical conditions
• Property damage or loss
• Accidents occurring during training sessions or while using equipment

I understand that this release applies to claims arising from ordinary negligence to the extent permitted by applicable law.  The waiver extends to myself, my heirs, representatives, and assigns.

7. Administrative Terms

Right to Refuse or Terminate Services

The Trainer reserves the right to suspend, revoke or cancel the Client’s membership or right to participate in any activity at any time and for any reason. 

Photography & Video Consent 

I grant permission for photographs and/or videos taken during training sessions to be used for educational, marketing, or promotional purposes. 

Governing Law

This Agreement shall be governed by the laws of the jurisdiction in which the training services are provided.

Severability
If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Entire Agreement
This document represents the entire agreement between the Trainer and Client regarding participation in training services.

8. Acknowledgement and Signature

I understand that by joining a session with the Trainer and signing the sign up sheet, I am confirming that I have read, understood and voluntarily agree to the terms of this Agreement and that I may be waiving certain legal rights.