Health & Fitness Liability Waiver/Informed Consent Form
By clicking or signing below, I am voluntarily participating in a fitness or coaching program or in a private service offered through The Up! Factory. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.
I understand that I am participating at my own risk regardless of pre existing physical or mental conditions or ailments. It is my responsibility to inform each instructor or massage therapist of each class/service in which I participate of any existing conditions, whether physical or mental. I have been advised that an examination by a physician should be obtained prior to commencing a fitness and/or exercise program, or initiating a subtle change in the amount of regular physical activity performed. If I have chosen not to obtain a physicians consent prior to beginning this fitness program, I hereby agree that I am doing so solely at my own risk. I understand that it is my responsibility to participate in exercises that are appropriate for the current status of my health. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor beforehand.
I understand that any exercise or fitness activity involves risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death. I am accepting such risks and volunteering to participate with full understanding of the dangers involved. In consideration of my participation in this program, I hereby waive and release The Up! Factory and it successors and assigns, from any and all claims, costs, liability and expense for any injury, loss or damage whether known, anticipated or unanticipated arising form my voluntary participation and enrollment.
I understand that this program is not medically supervised. Exercise activities are led by independent fitness instructors or other program participants who are not employees or agents of The Up! Factory. I agree to not hold The Up! Factory responsible for the actions or omissions of the independent instructors or program participants.
I hereby acknowledge that it is my responsibility to communicate any psychological or physical concerns or conditions including pregnancy to staff members, instructors, and massage therapists at the beginning of each class/session every time I participate. I understand that any changes occurring in my health or the health of my unborn child/children, if applicable, are at the mercy of my own decisions and/or doctors’ recommendations resulting in but not limited to miscarriage.
I assume full responsibility for all my children, dependents, family members, and guests on site or at an event.
I agree not to solicit to other members of The Up! Factory in or around the premise.
I understand that The Up! Factory may, in its sole discretion and at any time, revoke my enrollment in any class or program.
I am at least 18 years of age*
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS AGREEMENT IN ITS ENTIRETY AND FULLY UNDERSTAND IT. I UNDERSTAND THAT IT CONTAINS A RELEASE OF LIABILITY. BY CLICKING BELOW I AM ELECTRONICALLY SIGNING THIS DOCUMENT, I AM WAIVING CERTAIN RIGHTS MY SUCCESSORS OR I MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST THE UP! FACTORY, ITS AGENTS, EMPLOYEES, ORGANIZERS, OR REPRESENTATIVES.
*If you are under the age of 18 you must have a parent sign the liability waiver for minors before your first visit. The liability waiver for minors can be found on our website www.theupfactory.com or at the front desk