You can generate an Online Personal Training Waiver and Consent by using WaiverElectronic system.

Online Personal Training Waiver and Consent

Please enter your full name.
Please enter valid date.
Please enter address.
Please enter your phone number.
Please enter your email.

I consent to participate voluntarily in an Online Personal Training Program (“Program”) and I recognize this Program may contain certain inherent risks. 

I expressly assume the risks of the Program and I take full responsibility for my life and well-being and all decisions made before, during and after the Program. 

I understand that the information provided at or in conjunction with the Program, including dietary recommendations and/or supplement advice is not intended to be a substitute for professional medical advice, diagnosis or treatment that can be provided by my physician, therapist, licensed dietitian or nutritionist, or any other licensed or registered health care professional. 

I understand that Todd Raining Bird - is not a medical or mental health care provider and he is not providing health care, medical or nutrition therapy services or attempting to diagnose, treat or cure in any manner whatsoever, any disease, condition or other physical or mental ailment of the human body. Rather, he is serving only in his capacity as a coach, educator, mentor and guide. 

I agree to seek the advice of my physician or another qualified health care professional prior to and during the Program regarding any questions or concerns I have about my specific health situation, possible or actual pregnancy, known or suspected food sensitivities or allergies, dietary restrictions, or any medications I am currently taking. I agree to not disregard professional medical advice or delay seeking professional advice or stop taking any medications without speaking to my physician or health care professional. 

I agree to disclose to in advance any known or suspected food allergies or sensitivities, any physical limitations that may impact my breathing or movement, or any other health or mental condition that may affect or be affected during the Program. If I suspect that I have a medical problem, I agree to inform immediately. 

I understand that no claim is made as to the certain efficacy of any nutritional or supplement protocols. Additionally, I understand that this program may also include recommendations in regards to bringing balance to the physical, emotional, mental and spiritual components of my being. These recommendations may include but are not limited to, stress reduction techniques, food modifications, sleep hygiene, corrective stretching and strengthening exercises, range of motion exercises, resistance training, postural exercises, cardiovascular exercise and shoe wear and orthotic recommendations. I understand that adopting any of these recommendations is voluntary and by choice. 

I fully understand that all lifestyle recommendations, including but not limited to physical exercise and food are designed with my health, well-being and utmost safety in mind. I have been informed and understand physical exercise and food modifications have been associated with certain risks, including but not limited to, musculoskeletal injury, spinal injuries, abnormal blood pressure responses, respiratory distress, and in rare instances heart attack or death. Every effort will be made to minimize these risks. 

Any information that is obtained from my medical history, fitness level, and coaching sessions will be treated as privileged and confidential and will not be released or revealed to any person other than my healthcare providers without my expressed written consent. 

In the event that I may injure myself or become ill as a result of my participation in this program, I hereby release, discharge, and waive any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands which I have ever had, now have, and could have in the future against Todd Raining Bird and Chilkat Fitness, arising from my participation in anything related to the Program, now or in the future. 

I have carefully read this document and by signing below I consent to all parts of it. I understand that by signing this release, I voluntarily surrender certain legal rights. 

Click to sign
Please sign here.
Please enter valid date.