I desire to engage voluntarily in an exercise program in order to attempt to improve my physical fitness. I have had explained to me and I understand that the activities are designed to place a gradually increasing workload on the cardio respiratory system and to thereby attempt to improve its functions. The reaction of the cardio respiratory system to such activities can’t be predicted with complete accuracy and no predictions have been made to me of any type. There is a risk of certain changes that might occur during or following the exercise of which I am willing to accept without recourse against John (JR) Price. These changes might include abnormalities of blood pressure or heart rate. The activities may also be designed to place gradual increasing workload on the muscular system and thereby attempt to improve its function. The reaction of the muscular system to such activities may include muscle soreness.
I understand that I am responsible for monitoring my own condition throughout the exercise program and should any unusual symptoms occur, I will cease my participation and inform the instructor and/or staff of the symptoms.
In signing this consent I affirm that I have read this form in its entirety and that I understand the nature of the exercise program. I also affirm that my questions regarding the exercise program have been answered to my full and complete satisfaction.
In the event that a medical clearance must be obtained prior to my participation in the exercise program, I agree to consult my physician and obtain written permission from my physician prior to the commencement of any exercise program.
Any recommendations for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely my responsibility and I will consult a physician prior to undergoing any dietary or food supplement changes.
In consideration of participation, I do for myself, my heirs, executors, administrators and/or assigns hereby release, waiver discharge and relinquish any action or causes of action which may hereafter arise for my estate and agree that under no circumstances will I or my heirs, executors, administrators, and/or assigns prosecute or present any claim for personal injury, property damage, loss of consortium, or wrongful death against the above organizations, their instructors, managers, employees, members and associated activity or representatives for any said causes of action whether the same shall arise by the negligence of any said persons or organizations otherwise. I desire to participate in any or all activities offered by the above named organization, and do so of my own free will. I hereby certify that I am of at least 18 years of age, am sui juris, competent to enter into this agreement under Pennsylvania law.
I, the participant, agree to payment in full at the time of registration. If registering during the Early Registration, I understand that the Early Registration discounted rate is honored only if I register AND pay in full BY (on or before) the Early Registration Deadline as indicated on the website and marketing materials — otherwise the full camp rate applies. I understand that if I decide not to participate after I register, I will be honored a refund minus a $40 cancellation fee. In addition, I must contact JR Price three business days or more prior to the first day of the scheduled camp to be honored this refund. Camps fees are non-refundable once the camp begins, however arrangements may be made to transfer the camp to a future scheduled camp date.
Failure to attend workouts does not signify or imply notification to cancel payment. JR Price’s Fitness Boot Camp (formerly Katie Page’s Fitness Boot Camp) administrators may make any modifications to the workout schedule as deemed necessary. Such modification does not relieve the undersigned of their payment obligations under any circumstances. Camp fees cannot be used towards any other products or services provided by JR Price’s Fitness Boot Camp (formerly Katie Page’s Fitness Boot Camp).
JR Price’s Fitness Boot Camp (formerly Katie Page’s Fitness Boot Camp) administrators and those acting under its authority reserve the right to use photographs, videotapes, artwork or other likenesses of the member for marketing, publishing or any other lawful purpose.
Customer client respectfully agrees to confidentiality to JR Price’s Fitness Boot Camp (formerly Katie Page’s Fitness Boot Camp) and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, and and all aspects of JR Price’s FItness Boot Camp (formerly Katie Page’s Fitness Boot Camp). The undersigned agrees to non-competition within a 50-mile radius of Canonsburg, Pennsylvania, for a period of 1 year from date of participation (in camp or introductory class).
By clicking yes, you have read, understood, and agreed to this informed consent.