Create New Account Account IDPersonal InfoWaiver & Release Email Address * Create Password * Confirm Password * First Name * Last Name * I have read and agree to the Because Fitness Liability Waiver *LIABILITY WAIVER I, THE UNDERSIGNED, through the purchase of training sessions, have agreed to voluntarily participate in an exercise program, including, but not limited to, strength training, flexibility development, and aerobic exercise, under the guidance of Because Fitness LLC (hereafter referred to as Fitness Professional/Facility). I hereby stipulate and agree that I am physically and mentally sound and currently have no physical conditions that would be aggravated by my involvement in an exercise program. I have provided verification from a licensed physician that I am able to undertake a general fitness training program. I understand and am aware that physical-fitness activities, including the use of equipment, are potentially hazardous activities. I am aware that participating in these types of activities, even when completed properly, can be dangerous. I agree to follow the verbal instructions issued by the trainer. I am aware that potential risks associated with these types of activities include, but are not limited to: death, fainting, disorders in heartbeat, serious neck and spinal injuries that may result in complete or partial paralysis or brain damage, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system, and serious injury or impairment to other aspects of my body, general health, and well-being. I understand that I am responsible for my own medical insurance and will maintain that insurance throughout my entire period of participation with Fitness Professional/Facility. I will assume any additional expenses incurred that go beyond my health coverage. I will notify the Fitness Professional/Facility of any significant injury that requires medical attention (such as emergency care, hospitalization, etc.). Fitness Professional/Facility or I will provide the equipment to be used in connection with workouts, including, but not limited to, benches, dumbbells, barbells, and similar items. I represent and warrant any and all equipment I provide for training sessions is for personal use only. Fitness Professional/Facility has not inspected my equipment and has no knowledge of its condition. I understand that I take sole responsibility for my equipment. I acknowledge that although Fitness Professional/Facility takes precautions to maintain the equipment, any equipment may malfunction and/or cause potential injuries. I take sole responsibility to inspect any and all of my or the Fitness Professional/Facility’s equipment prior to use. Although Fitness Professional/Facility will take precautions to ensure my safety, I expressly assume and accept sole responsibility for my safety and for any and all injuries that may occur. In consideration of the acceptance of this entry, I, for myself and for my executors, administrators, and assigns, waive and release any and all claims against Fitness Professional/Facility and any of their staffs, officers, officials, volunteers, sponsors, agents, representatives, successors, or assigns and agree to hold them harmless from any claims or losses, including but not limited to claims for negligence for any injuries or expenses that I may incur while exercising or while traveling to and from training sessions. These exculpatory clauses are intended to apply to any and all activities occurring during the time for which I have contracted with Fitness Professional/Facility. I represent and warrant I am signing this agreement freely and willfully and not under fraud or duress. HAVING READ THE ABOVE TERMS AND INTENDING TO BE LEGALLY BOUND HEREBY AND UNDERSTANDING THIS DOCUMENT TO BE A COMPLETE WAIVER AND DISCLAIMER IN FAVOR OF FITNESS PROFESSIONAL/FACILITY, I HEREBY AFFIX MY SIGNATURE HERETO. I have read and agree to the Because Fitness Photo & Video Release *PHOTO & VIDEO RELEASE I, THE UNDERSIGNED, hereby grant Because Fitness LLC (hereafter referred to as 'Fitness Professional/Facility') permission to use my likeness in a photograph, video, or other digital media ('photo') in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the Fitness Professional/Facility and will not be returned. I hereby irrevocably authorize the Fitness Professional/Facility to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the Fitness Professional/Facility from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. HAVING READ THE ABOVE TERMS AND INTENDING TO BE LEGALLY BOUND HEREBY AND UNDERSTANDING THIS DOCUMENT TO BE A COMPLETE WAIVER AND DISCLAIMER IN FAVOR OF FITNESS PROFESSIONAL/FACILITY, I HEREBY AFFIX MY SIGNATURE HERETO. Phone Number * SMS Opt-in It's OK to text me at this number Address * Emergency Contact Name * Emergency Contact Phone Number * I am 18 years of age or older * Yes No If you are under 18 years old, you will need your parent or legal guardian to approve your participation. Please provide their name and phone number below so we can get in touch. Name of Parent or Legal Guardian * Contact Phone Number * COVID-19 Acknowlegement *I acknowledge that I am aware of the COVID-19 virus and that Because Fitness LLC has notated COVID-19 Guidelines relevant to the event venue and current CDC guidance. I accept and recognize that contracting the COVID-19 virus is an inherent risk when participating in fitness related activities and that without my acceptance of these risks, the basic value and character of the activities and a visit to the event venue would be altered. Electronic Signature Consent *By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary. Electronic Signature * Type your FULL NAME as your Electronic Signature Phone BackNext Finish