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ACTIVITY RELEASE OF LIABILITY

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In exchange for participation in the activity of any physical fitness camps, and/or personal training organized by TRIUMPH FITNESS, LLC of Gainesville, Georgia, and/or use of the property, facilities and services of Triumph Fitness, I agree for myself and (if applicable) for the members of my family, to the following:

1. I agree to observe and obey all posted rules & warnings, and further agree to follow any oral instructions or directions given by Triumph Fitness, or the employees, representatives or agents of Triumph Fitness.

2. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Triumph Fitness for injury of any kind, loss or damage arising out of my or my family’s use of or presence upon the facilities of Triumph Fitness, whether caused by the fault of myself, my family, Triumph Fitness or the employees, representatives or agents of Triumph Fitness.

3. I agree to indemnify and defend Triumph Fitness against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities of Triumph Fitness.

4. I agree to pay for all damages to the facilities and equipment of Triumph Fitness caused by me or my family’s negligent, reckless, or willful actions.

5. Any legal or equitable claim that may arise from participation in the above shall be resolved under Georgia law.

6. I hereby authorize Triumph Fitness, LLC to automatically charge my credit card, debit card or bank account the amount of my contract agreement on the 3rd of each month. Friend referral discounts will be applied whereas necessary. I understand that Triumph Fitness, LLC is released from any other obligation to furnish me with any further notices of this payment agreement. I understand that I am liable for the complete balance agreed upon with this contract. I understand that after my contract term is up, that account will continue to be automatically drafted per month for the same amount unless I send notice of cancellation via e-mail or hand written note fourteen (14) days prior to the payment date to Triumph Fitness, LLC. Mailing Address: 3647 Maple Forge Ln, Gainesville, GA 30504

BY CHECKING THE BOX, I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY CHECKING THE BOX, I AGREE TO THIS RELEASE AND VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

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Register for: (required)

Time Preference: (required)

How soon would you like to start? (required)

Would you like us to call you after we receive your registration? (required)

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PERSONAL INFORMATION

Full Name: (required)

Sex: (required)

Date of Birth: (required)

Address: (required)

Email: (required)

Phone: (required)

Your Occupation: (required)

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EMERGENCY CONTACT INFORMATION

Emergency Contact Name: (required)

Emergency Contact Phone: (required)

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MEDICAL HISTORY

Are you allergic to any medications? List if Applicable:

Taking medications? Describe Medications if Applicable:

Glasses or Contact Lenses? Explain if Applicable:

Do you have seizures? Explain if Applicable:

Are you diabetic? Explain if Applicable:

Are you anemic? Explain if Applicable:

High Blood Pressure? Explain if Applicable:

Do you have asthma? Explain if Applicable:

Ever had a severe neck injury? Explain if Applicable:

Ever injured your back? Explain if Applicable:

Do you have back pain? Explain if Applicable:

Broken/fractured bones in the past 2 years? Explain if Applicable:

Had knee pain/injury in the past 2 years? Explain if Applicable:

List any other physical conditions:

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Let's get started on answering some questions to help us serve you better...

Are you completely dedicated to this journey?

What is your current fitness activity?

How many times are you physically active during your week now? What is the average duration of each?

What have you been doing as far as physical activity goes?

What are a few areas that you would like to see yourself improve in?

What are you struggling with physically/nutritionally right now?

What is the biggest thing you need to change about your physical activity/nutrition in order to be healthier?

Are there any exercises that you physically can't do? [If you are unsure, give them a try before typing below.]

What do you expect from Triumph Fitness?

Anything else you can think of to share?

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GOALS

Name 3 of your GOALS: (required)

What are you willing to do for yourself to be successful at attaining your goals?

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How did you hear about us?If friend or other, please tell us:

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*Read and check the required boxes below.
I have read and understand the Nutrition tab of this website and realize that I have to hold myself accountable with a proper diet, attendance, and work ethic.
I have filled out the medical history form to the best of my knowledge.
I understand there is a no refund policy.
I understand that I must pay before or on my first day with Triumph Fitness.

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A few last things:

Download our General Nutrition Packet and read it through and through. This will help you get started nutritionally.

Download our Goals & Measurements document and fill it out by tomorrow. [Make sure your goals are SMART goals: Specific, Measurable, Attainable, Realistic, Timely. Your goals are how we will measure your success.] Once you fill it out, email it to Colby.

Download and fill out our Payment Authorization Form and email it to Colby. You can also call him at (936) 349-3136 to authorize recurring payments if preferred.

Be sure to our Facebook page & on Twitter to stay on top of what's going on!

Electronic Signature: Date: