Online Waiver & Questionnaire:

to get started, PLease fill out Waiver form and physical QUESTIONNAIRE!

Assumption of Risk, Waiver of Liability, and identification Agreement:

Client (print full name): *

First

Last

If under 18 years of age, parent of Client:

First

Last

I, understand, am either the Client named above or the parent and/or legal guardian of the minor Client named above. By signing this form, I acknowledge that: 1. Any program of physical activity and/or fitness exercise involves a risk of injury. 2. I (or the under 18 Client(s) named above for whom I am parent or guardian) have recently been examined by a medical doctor and have been cleared to undertake a program of exercise. 3. For and in consideration of an exercise program designed by Alyssa Cullen, I agree that: ● Any exercise program (In Person AND Online Training) shall be undertaken by the client at his or her sole risk, ● Alyssa Cullen shall not be liable to Client, nor any other person for any claims or causes of action whatsoever arising out of or connected with the services of Alyssa Cullen, ● The Client hereby releases and discharges Alyssa Cullen Fit and Well from any such claims or actions. BY SIGNING BELOW, PARTICIPANT (OR GUARDIAN OF PARTICIPANT) CONFIRMS THAT THEY HAVE CAREFULLY READ THESE TERMS, FULLY UNDERSTAND THEIR CONTENT, AND IS AWARE THAT THIS IS A RELEASE OF LIABILITY. I am signing this Agreement on behalf of a minor participant (under 18). I acknowledge that I am the guardian/parent of the participant and that I understand the terms of this Agreement. *

Client (Full Name):

Physical Activity Readiness Questionnaire :

Click here to download my Physical Questionnaire so I can learn more about you! Simply download, fill out and email back your questionnaire to:

Online Waiver & Questionnaire:

to get started, PLease fill out Waiver form and physical QUESTIONNAIRE!

Physical Activity Readiness Questionnaire :

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