BOOT CAMP WAIVER

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Physical Activity Readiness Questionnaire (PAR-Q)
Only check off if the answer is "Yes" and explain in the additional comments section.
Exerciser hereby stipulates that he/she is physically sound and that he/she has approval to proceed with a routine of exercise. I (the undersigned) have agreed to participate in the PetroFitness, LLC Conditioning Boot Camp Program. I recognize that the program involves strenuous physical activity including, but not limited to, strength training, running, agility drills, jumping, intense cardiovascular activities and flexibility training. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition, which would prevent or limit my participation in this exercise program. I acknowledge that my registration and subsequent participation in the PetroFitness, LLC Conditioning Boot Camp Program is completely voluntary. It is further expressly agreed that all strength training, cardiovascular exercise, or any other exercise shall be undertaken by me at my sole risk and that PetroFitness, LLC, Flex5, Petro Martynyuk and his agents or employees shall not be liable to me for claims, demands, injuries, damages, actions or causes of action, whatsoever, to my person or property arising out of or connected with the use by me of the services provided and of the premises where the same is located. I do hereby expressly forever release and discharge PetroFitness, LLC, Flex5, Petro Martynyuk and his agents or employees from all such claims, demands, injuries, damages, actions or causes of action, from all acts of active or passive negligence on the part of PetroFitness, LLC, Flex5, Petro Martynyuk and his agents or employees. I further expressly agree that I will not use equipment improperly. If I have any questions whatsoever, concerning exercise and use of equipment, I agree that I will request instruction from Petro Martynyuk and or his agents or employees. DO NOT SIGN THIS AGREEMENT UNLESS YOU UNDERSTAND THE TERMS COMPLETELY. IF YOU DO NOT UNDERSTAND, YOU SHOULD SEEK LEGAL COUNSEL.
Today's Date *
Today's Date



All-Inclusive Holistic Fitness & Wellness Center in Uptown Charlotte.
Address :
428 E 4th Street, Suite 333, Charlottel, NC 28202 Email : href="mailto:info@flex5clt.com">info@flex5clt.com