MY AGREEMENT OF RELEASE OF LIABILITY

I, ____________________________ through the purchase of services have agreed to voluntarily participate in services with Amex Health, LLC. I may receive health coaching or personal training services related to fitness, nutrition, weight management, stress management, mental health, and/or health risk management. In consideration of enrolling in the personal training program, I do hereby waive, release, and forever discharge my personal trainer/health coach and Amex Health, LLC and its members in their individual capacities, officers, agents, independent contractors, employees, representatives, executors, successors, assigns, and all others from any and all responsibility or liability for injuries or damages resulting from my participation in any activities or my use of fitness equipment arising out of my participation in any activities under such training.

I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of health coaching and exercise.

I understand that as a part of my program, I may be coached to, or it may be suggested that I, participate in exercise activities, e.g., exercise, aerobic training, strength training, flexibility training, etc., that could be potentially hazardous. I also understand that such activities involve risks of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I fully understand the risks associated with exercise, including the risk of bodily injury, heart attack, stroke, or even death. I hereby agree to expressly assume and accept any and all risks of injury or death.

I understand that as a part of my program, I may be given nutrition advice. I may choose to follow such nutrition advice. However, I fully understand that my personal trainer/health coach and Amex Health, LLC and its officers, agents, independent contractors, employees, representatives, executors are not licensed dietitians. I fully understand that relying on such nutrition advice may lead to illness, bodily injury, or even death. I hereby agree to expressly assume and accept any and all risks of illness, injury, or death arising from my reliance on such nutrition advice.

I do hereby further acknowledge that I have either had a physical examination and have been given a physician’s permission to participate or that I have decided to participate in activity and or use of equipment and machinery without the approval of my physician and do hereby assume all responsibility and risks of injury or death from such participation and activities.

I further understand that my personal trainer/health coach, as applicable, may be an independent contractor or an agent of Amex Health, LLC.

This Release of Liability shall be binding on my heirs, executors, administrators and assigns.

 

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