I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise / nutrition program may be injurious to my health, am voluntarily participating in a physical in a physical activity.
Having such knowledge, I hereby acknowledge this release, any representatives, agents, and successors from liability for accidental injury or illness which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.
I agree to disclose any physical / nutritional limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness / nutrition program.
