BODY RESULTS WEB TRAINER CONTRACT

Close window to return to previous page

Please print out, sign, and mail with funds to Body Results.

I, ____________________________, have enrolled in a program of strenuous physical activity including, but not limited to, aerobic exercise, weight training, stationary bicycling, stability ball training, and the use of various strength-training equipment offered by Body Results Web Trainers. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this exercise program. I hereby represent and inform the program that I have accurately completed the personal health history form presented to me on-line by the Body Results program staff and have provided correct responses to the questions as indicated on the health history form. I understand that it is important that I provide complete and accurate responses to the trainers and recognize that failure to do so could lead to possible unnecessary injury to myself during exercise. I agree: my initials ______

I have been informed that the information obtained by Body Results will be treated as privileged and confidential and will not be released or revealed to any person without my express written consent. I do, however, agree to the use of any information for research or statistical purposes, so long as same does not provide facts which could lead to identification of my person. I agree; my initials: ______

In consideration of my participation in Body Results exercise program, for myself, my heirs and assigns, I hereby release Body Results, its employees and owners, from any claims, demands and causes of action arising from my participation in a personalized exercise program, given my current exercise condition and abilities. I agree: my initials ______

I understand that any strenuous exercise can (however remote the possibility seems) result in occurrences such as injury, impairment, disability, disfigurement, and even death. I have been told that every effort will be made to minimize such occurrences by precautions and proper instructions, as well as unlimited answers to my questions provided by Body Results Web Trainers. I fully understand that I may injure myself as a result of my participation in a Body Results exercise program and I, ____________________, hereby release Body Results from any liability now or in the future including but not limited to heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries, shoulder injuries, and any other illness, soreness, or injury, however caused, occurring during or after my participation in the exercise program. I agree and understand; my initials: _____

BODY RESULTS WEB TRAINERS RESPONSIBILITIES:

I am aware that Body Results Web Trainers will provide me with the following: 1) a monthly personalized exercise program designed specifically with my exercise preferences, needs and goals in mind; 2) unlimited answers to my fitness and nutrition questions; 3) continuous support and motivation. My initials: ______

MY RESPONSIBILITIES:

I am responsible for the following: 1) sending monthly Web Training fee to Body Results, 13553 22nd Ave NE, Seattle WA 98125; 2) providing weekly progress reports to my Web Trainer; 3) earnestly committing to my exercise program and sticking to it, to the best of my ability; and 4) providing monthly feedback on how the program is working for me.

I hereby affirm that I have read and fully understand the above.

_____________________________ ___________________________________

Signature of client                            Signature of Body Results trainer

Date _______________                   Date __________________