Health History Part 2

What is the most important goal for you to achieve with your program?

I hereby expressly consent to my participation in personal and/or small group training at Regular Exercise LLC. I acknowledge that such participation will necessarily involve participation in exercises that may be physically demanding and will subject the participant to stress, anxiety and possible hazards. I understand that the activity involves inherent other risks of INJURY. I voluntarily agree to expressly assume all such risks that may result from the activity or in any way related to my participation in the activity. In consideration of the right to participate in the activity, I hereby release from any legal liability Regular Exercise LLC, and its instructors and all individuals assisting with the activity for injury or death caused by or resulting from my participation in the activity or in any way connected with my participation in the activity, whether such injury or death was caused by the alleged negligence of Regular Exercise LLC, another participant, or any other person or cause. This agreement will apply for each and every day I engage in the activity without requiring me to sign an additional form for each. I further agree to defend and indemnify Regular Exercise LLC for loss or damage, including any that result from claims or lawsuits for personal injury, death, or personal property damage, relating to the activity of the Regular Exercise LLC facilities or equipment. I represent that I am in satisfactory physical condition to participate in the activity and I authorize any person connected with the activity at Regular Exercise LLC to administer first aid to me, as they deem necessary. I authorize medical and surgical care and transportation to a medical facility or hospital for treatment necessary for my well being, at my expense. The undersigned, (individual, parent or guardian) acknowledges that she/he is signing this agreement on behalf of (themselves, or a minor) and that the individual or minor shall be bound by the terms of the agreement.