Stronger Together Family Initial Evaluation Form

Name *
Name
Birthday *
Birthday
How did you here about Stronger Together Family? (check all that apply) *
What is your main goal for exercising? Check all that apply *
On a scale of 1-10, how serious are you toward accomplishing you fitness goals? (1 being low, 10 being high? *
Stronger Together Family Rules: Safety- Your safety is rule Number 1 and you have the final say so. If you feel unsure or unsafe, SPEAK UP. It’s the rule. Try- Give it a GO! You will see an exercise and instinctively say… “I can’t-- Maybe you can’t, but do TRY and eventually you will say “I DID”. Maybe I’m not ready is what you really mean. MAYBE Positivity- Everyone is here working to get better. You must be positive in your attitude toward them and yourself! Start with believing in yourself. Stronger Together Family, an Aiken Enterprises, LLC business, agrees to provide to participant, training at the above activity (“class”). In exchange, participant understands that there is a risk of personal injury in the course of instruction and, with this knowledge, agrees to assume the risk of any injury and damages to participant during the class. Specifically, participant agrees to hold harmless the facility and all other individuals, organizations, sponsors, promoters, operators, hosts, instructors, associations, schools, owners, officials, directors, employees, and other participants connected with the class from all losses, damages, injuries, causes of actions, claims, or complaints in the event that the participant is damaged or injured in any way during the participation, instruction, and/or performance of any exercise or during any activity associated with the class location or during transit to or from the class. Participant further agrees to strictly obey instructors and observe safety rules. Because of the physical demands of this program, participant understands that he/she must be in good physical condition to participate in the class. Participant understands that in case of injury, the only medical treatment instructors will provide is first aid. Participant agrees that any pictures, audio, or visual recordings taken of him/her in connection with the class can be used for publication, promotion, articles, shows and advertisement without additional consent and without compensation at this or any other time. Participant is not under the influence of any drugs, alcohol, or other intoxicants. Is not suffering from any illness or incapacity. Is over 18 years of age. (If not over 18 years of age, parent or guardian must sign.) Participant understands there are no refunds or credits for class. Have read and understand this release and agreement and agree to its provisions.
Date *
Date