VYBES FITNESS
Are you aware of any injury, past or present, which may be aggravated by any form of exercise?
YES NO (Please tick/circle)
If YES, please explain:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Please tick one of the following boxes to indicate the amount of physical activity you perform on a daily basis:
Very Low Low Moderate Active Very Active
Date: ________________
VYBES FITNESS
WARNING
Programs and training offered by Vybes Fitness have components of HIGH INTENSITY ACTIVITY and it is your responsibility to
inform your trainer/fitness instructor of any medical condition which may put your health or wellbeing at risk before beginning any
Vybes Fitness exercise program. It is important that you are well hydrated and medically fit before participating in any Vybes
Fitnesstraining session or program. Failure to do so can put your health at serious risk.
DISCLAIMER
I understand that my participation in the activities, programs or services offered by Vybes Fitness and the use of any exercise equipment are
potentially hazardous activities and may involve a risk of injury, and I hereby agree to assume all the risks associated with my participation,
including any risks arising from any medical or physical condition/s I may have or develop. I also indemnify and agree to hold harmless Vybes
Fitness and its directors, instructors, employees, agents, volunteers and independent contractors in respect of any event that may arise from any
cause whatsoever including, but not limited to, the negligence of Vybes Fitnessand its directors, instructors, employees, agents, volunteers and
independent contractors which results in any damage to property, loss or theft of property, or any accident, injury, loss suffered by or occasioned
to me or any person in my care and control.
I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS FORM I AM
WAIVING CERTAIN LEGAL RIGHTS (INCLUDING THE RIGHT TO SUE) WHICH I OR MY HEIRS, NEXT OF KIN,
EXECUTOR, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST VYBES FITNESSAND ITS DIRECTORS,
INSTRUCTORS, EMPLOYEES, AGENTS, VOLUNTEERS AND INDEPENDENT CONTRACTORS. ANY QUESTIONS I
HAD WERE ANSWERED TO MY FULL SATISFACTION.
If the participant is under the age of 18 a parent or guardian must sign.
Signature of Participant: ________________________________ Date: ________________
Signature of Parent or Guardian: _________________________ Date: ________________
Parent or Guardian Print Name: _______________________________________________
Schedule
Monday- Saturday (4 days a week for 2hrs a day)
Personal Training
Your personal trainer will take care of everything from nutrition/diet advice, strength & fitness programming and regular
assessment to the motivation needed to keep you on track to quickly achieve your weight management, strength or
fitness goals. Our work out includes but is not limited to:
* Weights
* Strength training
* Weight loss and body sculpting & toning
* Aerobics
* Resistance training
* Meal plans