Health History/Goal Form

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TERMS & CONDITIONS: TOTAL BODY RESULTS BOOT CAMP MEMBER / PARTICIPANT ACKNOWLEDGMENT AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY OF TOTAL BODY RESULTS BOOT CAMP, OR IT’S EMPLOYEES, CONTRACTORS, OFFICERS,OR OWNER. PARTICIPANT ACKNOWLEDGES THESE PHYSICAL ACTIVITIES INVOLVES THE INHERENT RISK OF PHYSICAL INJURIES OR OTHER DAMAGES, INCLUDING, BUT NOT LIMITED TO, HEART ATTACKS, MUSCLE STRAINS, PULLS OR TEARS, BROKEN BONES, SHIN SPLINTS, HEART PROSTRATION, KNEE/LOWER BACK/FOOT INJURIES AND ANY OTHER ILLNESS, SORENESS, OR INJURY HOWEVER CAUSED, OCCURRING DURING OR AFTER PARTICIPANT PARTICIPATION IN THE PHYSICAL ACTIVITIES. TOTAL BODY RESULTS BOOT CAMP MEMBER FURTHER ACKNOWLEDGES THAT SUCH RISKS INCLUDE, BUT ARE NOT LIMITED TO, INJURIES CAUSED BY THE NEGLIGENCE OF AN INSTRUCTOR OR OTHER PERSON, DEFECTIVE OR IMPROPERLY USED EQUIPMENT, OVER-EXERTION OF A TOTAL BODY RESULTS BOOT CAMP MEMBER, SLIP AND FALL BY TOTAL BODY RESULTS BOOT CAMP MEMBER OR AN UNKNOWN HEALTH PROBLEM OF TOTAL BODY RESULTS BOOT CAMP MEMBER. TOTAL BODY RESULTS BOOT CAMP MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY INVOLVED WITH PARTICIPATION IN THE PHYSICAL ACTIVITIES, TOTAL BODY RESULTS BOOT CAMP MEMBER AFFIRMS THAT TOTAL BODY RESULTS BOOT CAMP MEMBER IS IN GOOD PHYSICAL CONDITION AND DOES NOT SUFFER FROM ANY DISABILITY THAT WOULD PREVENT OR LIMIT PARTICIPATION IN THE PHYSICAL ACTIVITIES. TOTAL BODY RESULTS BOOT CAMP MEMBER ACKNOWLEDGES PARTICIPATION WILL BE PHYSICALLY AND MENTALLY CHALLENGING, AND TOTAL BODY RESULTS BOOT CAMP MEMBER AGREES THAT IT IS THE RESPONSIBILITY OF TOTAL BODY RESULTS BOOT CAMP MEMBER TO SEEK COMPETENT MEDICAL OR OTHER PROFESSIONAL ADVICE, REGARDING ANY CONCERNS OR QUESTIONS INVOLVED WITH THE ABILITY OF PARTICIPANT TO TAKE PART IN TOTAL BODY RESULTS BOOT CAMP ACTIVITIES. BY SIGNING AGREEMENT BELOW, TOTAL BODY RESULTS BOOT CAMP MEMBER / PARTICIPANT ASSERT THAT HE OR SHE IS CAPABLE OF PARTICIPATING IN THE PHYSICAL ACTIVITIES. TOTAL BODY RESULTS BOOT CAMP MEMBER AGREES TO ASSUME ALL RISK AND RESPONSIBILITY FOR NOT EXCEEDING HIS OR HER PHYSICAL LIMITS. PARTICIPANT UNDERSTANDS PHOTOS OR VIDEO MAY BE TAKEN DURING THE COURSE OF MY INVOLVEMENT IN BOOT CAMP, WHICH MAY BE USED FOR PROMOTIONAL PURPOSES. TOTAL BODY RESULTS BOOT CAMP MEMBER/PARTICIPANT UNDERSTANDS THAT HE/SHE IS ENTITLED TO A 30 DAY UNCONDITIONAL MONEY BACK GUARANTEE. IF AT ANY TIME DURING THE FIRST 30 DAYS OF MEMBERSHIP, TOTAL BODY RESULTS CAMP MEMBER/PARTICIPANT IS NOT SATISFIED WITH THE TOTAL BODY RESULTS BOOT CAMP, THEN TOTAL BODY RESULTS BOOT CAMP MEMBER/PARTICIPANT WILL SEND NOTIFICATION VIA EMAIL TO INFO@TOTALBODYRESULTS.COM REQUESTING A FULL REFUND. PARTICIPANT/BUYER IS AWARE THAT THEIR TOTAL BODY RESULTS MEMBERSHIP IS MONTH TO MONTH AND WILL BE CONSIDERED ACTIVE AND ONGOING. IF PARTICIPANT WISHES TO PAUSE HIS/HER ACCOUNT/BILLING, PARTICIPANT MUST GIVE 30 DAYS NOTICE VIA EMAIL TO INFO@TOTALBODYRESULTS.COM. PARTICIPANT UNDERSTANDS THAT PHOTOS OR VIDEO MAY BE TAKEN DURING THE COURSE OF INVOLVEMENT WITH BOOT CAMP, WHICH MAY BE USED FOR PROMOTIONAL PURPOSES.