I understand and acknowledge that fitness training involves risk of injury. As an inducement to Ashley Borden Fitness and Lifestyle, LLC (“Company”) to provide the services of Ashley Borden (“Trainer”) to assist me in fitness training, in addition to
paying Company the stated fee associated with the fitness training, I hereby agree to each of the following statements and indicate so by selecting the checkbox below.

I am currently in good health, above the age of eighteen (18) years of age, and hereby declare myself to be physically sound & suffering from no condition, impairment, disease, infirmity, or other illness that would prevent or impair my participation in any fitness training activities. I do hereby acknowledge that I have been informed of the recommendation that I obtain a physician’s approval prior to my participation in any fitness training activity. I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my personal physician as to physical activity, exercise, so that I might have recommendations concerning these activities. I acknowledge that I have either had a physical examination and have been given my physician’s permission to participate, or that I have decided to participate without the approval of my physician and do hereby assume all responsibility for my actions and physical conditions arising from any participation in the fitness training.