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CLIENT RELEASETRAIN THE BRAIN FIT CLUB LIABILITY FORM
CLIENT RELEASE
FOR PARTICIPATION AT TRAIN THE BRAIN FIT CLUB
I hereby request the opportunity to participate in an exercise program consisting of physical
exercise designed to improve cardiovascular efficiency, improve flexibility and develop muscular
strength and endurance. I hereby acknowledge that my participation in such program is entirely
voluntary on my part. Such participation is solely for my own pleasure and benefit.
I will be taught how to properly operate all equipment necessary for my participation. I realize
that the physical fitness equipment provided can be potentially dangerous and that if I am unsure
of the proper operation of any equipment, I should ask for assistance from TRAIN THE BRAIN FIT
CLUB.
It is possible that certain unhealthy changes may occur during exercise (e.g., dizziness/fainting,
abnormal heart rhythms, and in rare instances, heart attacks). I hereby accept all risks of such
changes. The information which is obtained through this program will be confidential and become a
part of my TRAIN THE BRAIN FIT CLUB records.
In consideration of acceptance of my participation in such program, I hereby release TRAIN THE
BRAIN FIT CLUB (as a group and as individuals) of any of the foregoing for liability for any injury
or damage sustained by me while participating in such a program.
Client Signature
Date
Client Name (PRINT)
Parent or Guardian
(for participants under the age of majority)
Trainer Name (PRINT)