Liability Waiver-BINDZONE

Liability Waiver

Please fill out this form of liability prior to participating and engaging in online services to release & discharge BINDZONE from any and all claims or causes of action, known or unknown, arising out of BINDZONE's services. If you are under the age of 18, please let BINDZONE know and provide us with your parent's information as well.

First Name

Last Name

Phone Number

Address

Choose an option from the list

If you're under 18 years old, please provide your parent's first and last name, phone number, and email.

Date of Birth

Please specify anything we should know about regarding your body's physical abilities and limitations (injury, disability, etc.):

Do you have a doctor’s permit to participate in physical activities?

Yes

N/A

Which services and/or online programs do you plan to participate in? Select all that apply.

Personal Training

Personalized Programs

Online Journals

Fitness Classes

Nutrition Coaching

Sleep, Stress Management, and Recovery Coaching

Walk Groups

Generalized Workout Programs

I understand that participation in these services could include actions that may be dangerous to me and potentially cause injury if they aren't done properly

I understand

I don't understand

If you choose to participate in BINDZONE's services, you agree to do so at your own risk, voluntarily, & assume all risk of injury to yourself.

I agree

I don't agree

I agree to the terms & conditions listed above, and don't hold BINDZONE liable for any form of potential injury.

Your Signature

Date