{name}
{dob}
In consideration of my being able to participate in the Itani Method Program, I understand that I must read, agree to and sign this agreement where I assume the risks for participation, waive liability, and personal training policies and procedures.
I understand that the program is voluntary and that trained staff is there to guide me through my exercise program and is not a personal trainer. I am taking and any exercise or diet limitations I am aware of or have been informed of by my doctor. During the program, if my medications, condition, medical limitations, or personal information should change, I will notify the Trainer.
I understand that I have the complete right to stop or decrease exercise at any time during a session and that it is my obligation to inform the staff of any symptoms such as fatigue, shortness of breath, or chest discomfort.
I understand that exercise involves certain risks, including but not limited to, serious neck and spinal injuries resulting in complete or partial paralysis, heart attack, stroke, or even death. Also, injuries could occur to bones, joints, or muscles. Slips, falls, and unintended loss of balance could result in muscular, neurological, orthopedic, or other bodily injuries. I understand that part of the risk involved in undertaking any activity or program is relative to my own state of fitness or health (physical, mental, or emotional) and to the awareness, care, and skill with which I conduct myself in that activity or program.
Knowing the material risks and appreciating, knowing, and reasonably anticipating that other injuries are a possibility, I hereby expressly assume all of the delineated risks of injury, all other possible risks of injury, and even the risk of possible death, which could occur by reason of my participation.
I do hereby waive, release and forever discharge to the gym, Itani Athletic Club from any and all responsibilities or liability for any present and future injuries or damages resulting or arising from my participation in any activities including but not limited to exercise, personal training or use of the equipment including any injuries and damages caused by any action or omission of any of those persons or entities mentioned above.
I declare that I have read, understand, and agree to the contents of this Training Agreement in its entirety. I understand that the Assumption of Risk, Waiver of Liability, and Training Policies and Procedures are intended to be as broad and inclusive as permitted by the State of Hawaii and agree that if any portion is held invalid, the remainder will continue in full force and effect.