Please fill out so I can help support your fitness goals!

Name of Trainer

First Name

Last Name

Your Name

First Name

Last Name

Date

YYYY

1. Acknowledgment of Risks

I acknowledge that participation in personal training, group fitness, and exercise programs involves inherent risks. These may include, but are not limited to, musculoskeletal injuries, cardiovascular events, accidents, or complications that may arise during or after physical activity. I understand that if I am pregnant, postpartum, or have recently given birth, there are additional risks to myself and/or my fetus/infant associated with physical exercise. These may include, but are not limited to, increased fatigue, pelvic floor complications, abdominal separation, and pregnancy-related medical events.

2. Medical Clearance

I affirm that: a) I have disclosed all relevant medical conditions, medications, injuries, or health concerns to my trainer. b) I have consulted with my healthcare provider and have received clearance to participate in exercise. c) I understand that my trainer is not a medical professional and does not provide medical advice, diagnosis, or treatment.

3. Assumption of Responsibility

I voluntarily choose to participate in fitness training and assume full responsibility for: a) My decision to engage in physical activity. b) Monitoring my own physical condition during training. c) Stopping activity and informing my trainer immediately if I experience pain, dizziness, shortness of breath, or any unusual symptoms

4. Release of Liability

In consideration of being allowed to participate in training sessions with Shannon Platt, I hereby: a) Waive, release, and discharge my trainer, business, employees, contractors, and affiliates from any and all liability, claims, demands, or causes of action arising out of my participation in exercise activities. b) Specifically release liability for any injury, illness, complication, or adverse outcome related to pregnancy, postpartum recovery, or effects on my fetus/infant. c) Acknowledge that this waiver applies to in-person sessions, online/virtual sessions, outdoor training, and independent exercise programs provided to me.

5. Insurance & Indemnification

I agree to indemnify and hold harmless Shannon Platt from any claims made by third parties (including dependents or family members) resulting from my participation.

6. Media Release & Consent

I give my consent for Shannon Platt to take photographs and/or video recordings during training sessions, events, or classes. I understand these may be used for promotional purposes, including but not limited to social media, websites, marketing materials, or educational content.

Yes, I consent to my images/videos being used for promotional and marketing purposes

Yes, but only if my face is not visible (e.g., side/back view, cropped shots)

Yes, but only me and not my child

No, I do not consent to the use of my images/videos

7. Acknowledgment & Signature

By signing below, I acknowledge that I have read, understood, and voluntarily agree to this waiver and release of liability. I confirm that I am of legal age and capacity to sign this document.

8.Date

YYYY

Please fill out so I can help support your fitness goals!

Shannon Platt Training

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