Name *

First Name

Last Name

Phone *

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I understand that I should consult with my physician before engaging in any physical activity on my own or with a personal trainer. I agree that by participating in physical exercise or training activities, it is entirely at my own risk. I agree that I am voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death. I acknowledge that I have carefully read this “waiver and release” and fully understand that it is a release of liability. I expressly agree to release and discharge the personal trainer, Kristen Horler, from any and all claims or causes of action. *

I AGREE