FITNESS SERVICES WAIVER — MINOR (PARENT / GUARDIAN CONSENT)
I am the parent or legal guardian of a minor under the age of 18 consenting here for the minor in my care to receive fitness services. First-person pronouns throughout this document refer to me as the legal guardian representing the minor in my care.
I, , hereby agree that by signing this document, I consent to waive certain legal rights, including the right to sue the following party, and, if applicable, its owners, trainers, representatives, and facilities from any physical, material, tangible or intangible, loss or damages that may happen to the minor in my care during participation in any of the fitness services (hereinafter, "Fitness Services") undertaken while under their instruction or thereafter: Evolve Human Performance, LLC (the "Fitness Provider").
The minor in my care will be voluntarily participating in the Fitness Services that will be conducted by the Fitness Provider. These Fitness Services will include, but not be limited to, the following:
- Strength Training
- Speed Training
MINOR CLIENT INFORMATION
Minor's Legal Name: {name} Minor's Date of Birth: {dob} Address: {address} Phone Number: {phone} Emergency Contact: {contact_name} ({contact_relation}) — {contact_phone}
PARENT / GUARDIAN INFORMATION
Parent or Guardian Full Name: Relationship to Minor: Parent or Guardian Phone Number: Parent or Guardian Email:
FITNESS PROVIDER INFORMATION
Evolve Human Performance, LLC 1360 Union Hill Rd., Building 2, Suite 2 FG, Alpharetta, GA 30004 Business Contact Number: (770) 670-0543
ACKNOWLEDGMENTS
As the parent or guardian of the minor, I agree with and understand each of the following on behalf of the minor in my care:
It is my responsibility to consult a physician before the minor participates in this or any fitness program, and I affirm that the minor has no medical conditions that would restrict participation in any of the Fitness Services.
I agree to hold the Fitness Provider, and if applicable, its owners, trainers, and representatives, harmless from any damage, whether tangible or intangible, that may happen to the minor while participating in the Fitness Services. Such injuries may include, but are not limited to, muscle strains, muscle sprains, muscle spasms, heart attacks, raised blood pressure, and broken, fractured, or dislocated bones.
I agree that the Fitness Provider offers the Fitness Services with no guarantee of results. I agree that I am solely responsible to maintain the diet and fitness regime appropriate for the minor's level of health and stamina, and I agree that any results that occur, whether positive or negative, are the effects of personal choices made by me and the minor.
I agree that participation in the Fitness Services is not a replacement for actual medical care, and that if the minor does experience medical issues, I will contact their doctor immediately.
I agree and verify that all of the information that I have given the Fitness Provider and its representatives is accurate, up-to-date, and without the omission of any known medical issues.
I agree and verify that if I have omitted any necessary personal information, whether knowingly or unknowingly, I will hold the Fitness Provider harmless against all liability for any damages that may occur to the minor or to others because of my actions or inactions, or those of the minor.
I agree to keep the Fitness Provider apprised of any changes or upcoming changes concerning the minor's physical health and personal information.
I understand and agree that it is my responsibility, and the minor's, to let the Fitness Provider know if the minor is in any pain or discomfort before, after, or during the Fitness Services.
If the minor requires medical treatment or attention while or after participating in the Fitness Services, I agree that the medical costs are mine alone, and I hold the Fitness Provider blameless from any charges, fees, or costs that those conditions may incur.
GENERAL PROVISIONS
This Fitness Services Waiver will bind and be enforceable against me, the minor, and all of our personal representatives. I agree that this Fitness Services Waiver should be enforceable to the fullest extent of the law, and if any portion is held invalid, the remainder should continue in full legal force and effect.
I specifically acknowledge and agree that this document is not intended to be a general release, which would be limited under some state and local laws.
This Fitness Services Waiver shall be construed and interpreted as broadly as possible in the applicable jurisdiction.
ASSUMPTION OF RISK. I understand and am aware that the minor's participation in the Fitness Services involves risks. These risks may lead to tangible or intangible harm, and I agree that they may result not only from the minor's own actions but also from the actions of others. With the knowledge and understanding of these risks, I choose, of my own will and volition, to allow the minor to continue participating in the Fitness Services. I am also aware that there are risks that I may not have considered, yet I waive any right to claims that may occur from these unconsidered risks, and I choose, of my own will and volition, to allow the minor to participate in the Fitness Services.
COVENANT NOT TO SUE. I will not start any lawsuit or other court action against the Fitness Provider, nor will I join any such proceeding, including any claim for money damages, on my own behalf or on behalf of the minor. I acknowledge and agree that I am entering a covenant not to sue the Fitness Provider in any capacity, including to hold the Fitness Provider liable for any injury, loss, or damage sustained by me, the minor, or our property, even if it is due to the Fitness Provider's negligence or omission. I also waive the right of any of my insurers to make any such claim.
INDEMNIFICATION. I agree to defend and indemnify the Fitness Provider and any of its affiliates (if applicable) and hold them harmless against any and all legal claims and demands, including reasonable attorney's fees, which may arise from or relate to the minor's use or misuse of the Fitness Services or our conduct or actions. I agree that the Fitness Provider shall be able to select its own legal counsel and may participate in its own defense, if desired.
REPRESENTATION. I am the parent or legal guardian of a client under the age of 18, consenting for the minor in my care to receive fitness services. I have the legal authority to execute this waiver on behalf of the minor.
I confirm that I am the parent or legal guardian of the minor named above and that I have the legal authority to execute this waiver on the minor's behalf.
GOVERNING LAW. This Fitness Services Waiver shall be governed by and construed in accordance with the internal laws of the State of Georgia without giving effect to any choice or conflict of law provision or rule. Each party irrevocably submits to the exclusive jurisdiction and venue of the federal and state courts located in Forsyth County in any legal suit, action, or proceeding arising out of or based upon this Fitness Services Waiver.
I have read the above Fitness Services Waiver fully and I understand and agree to its contents. I understand and agree that by signing this Fitness Services Waiver, I forfeit any right, claim, or ability to hold the Fitness Provider responsible for any tangible or intangible damages, loss of property, or loss of life that may occur during or after the minor's use of the facilities and participation in the Fitness Services.
SIGNATURES
Minor's Name: {name}
Parent or Guardian Name:
Parent or Guardian Signature: ____________________________________
Date Signed: {sign_date}
Evolve Human Performance