Waiver Form


    You can complete this Waiver Form now. A copy will be emailed to you for your records.

    IMPORTANT!! All fields are REQUIRED.

    Your Full Name

    Your Address

    Your City

    Your State

    Your Zip

    Your Email

    Your Phone

    Your Birthday

    Your Age

    Your Gender

    Emergency Contact Name

    Emergency Phone

    Current or prior injuries/medical conditions:
    NoneYes (describe in Comments below)


    List any medications you are currently taking

    By typing your name here you agree you have read the Release and Waiver of Liability in this page.
    This will be considered Your Signature:

    Photo Release: Please enter your initials if you agree.

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    Release and Waiver of Liability…

    It is agreed that all exercises shall be undertaken by me at my sole risk and that Transform U Fitness, or any trainers associated with Transform U Fitness, shall not be liable to me for any claims, demands, injuries, actions or causes of actions, whatsoever, to myself or personal property, arising out of or connected with my participation in the exercise and nutritional program. I understand that there are inherent risks associated with any physical activity.  The risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. Physical activity (even mild forms of yoga and dance) are not safe or recommended for certain medical conditions.   I recognize it is my responsibility to provide accurate and complete health/medical information.   Furthermore, it is my responsibility to monitor my individual physical performance during any activity.   I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Transform U Fitness.

    PHOTO RELEASE: I consent to the placement of my name/photo on the releases websites, flyers, commercials or any other marketing materials.