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Dumbbells

Health Declaration Form & Liability Waiver


  1. Complete and sign the Health Declaration Form. This form needs to be completed once a year.

  2. Sign the Liability Waiver: This waiver is also required once a year.


We’re excited to support and guide you on your fitness journey! If you have any questions, feel free to reach out.



If a section is not applicable, please enter "N/A."

Birthday
Día
Mes
Año
  1. Current State of Health:

  1. Current Medications:


  1. Any medical conditions or limitiations we should be aware?

  1. Major Surgeries:

  1. Are you currently pregnant or have recently given birth?

  1. Do you have any dietary restrictions or allergies?

  1. What has been your experience with exercise so far?


  1. Do you have any injuries or areas of discomfort we should know about?

  1. Weight History

What would you like to do with your weight?
  1. On a scale of 1 to 5, how likely are you to adopt a healthier lifestyle? (1 = very unlikely; 5 = very likely)

  1. Do you have specific goals for improving your health?

Yes
No

Declaration: I, the undersigned, declare that the information provided is accurate and complete to the best of my knowledge. I understand that is my responsability to inform You vs You Fitness Studio of any changes to my health status before participating in any fitness activities.

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Liability Waiver

  1. Acknowledgment of Risks:

    I, the undersigned, acknowledge that participating in fitness activities at You vs You Fitness Studio involves inherent risks, including but not limited to injury, illness, or death. I understand that these risks may arise from my own actions, the actions of others, or the conditions under which activities take place.

  2. Assumption of Risk:

    I voluntarily assume all risks associated with my participation in fitness activities at You vs You Fitness Studio. I acknowledge that it is my responsibility to inform the staff of any pre-existing health conditions or injuries prior to engaging in activities.

  3. Release of Liability:

    In consideration of being allowed to participate in activities at You vs You Fitness Studio, I hereby release, waive, discharge, and hold harmless You vs You, its owners, employees, instructors, and affiliates from any and all liability for any injury, loss, or damage that may occur during my participation in fitness activities, including but not limited to claims for negligence.

  4. Medical Clearance:

    I certify that I am physically fit and have not been advised otherwise by a qualified medical professional. I understand that it is my responsibility to seek medical clearance before participating in any physical activity.

  5. Photography and Media Release:

    I grant permission for You vs You Fitness Studio to take photographs or videos of me during activities for promotional purposes. I understand that these images may be used on social media, the studio's website, or other marketing materials.


Governing Law:

This waiver shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania.

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