OHPT FREE TRIAL

First Name *

Last Name *

Phone Number *

Email Address *

Birthday *

Occupation *

Do you give LIV STRONG permission to take appropriate photos/videos during training sessions for social media purposes? *

Emergency contact details: Name, relationship & phone number. *

What exercise have you completed in the last 6 months? *

What is you main health & fitness related goal at the moment? *

Do you currently have any injuries or illness that may affect you when exercising? Please go into as much detail as necessary. *

Please read in detail and sign if you agree to all points stated below to recieve your free group trial session.

All information enclosed in this form is true, in detail and to the best of my knowledge.
You recognise I must inform Liv Strong with all medical conditions, medications and/or injuries that may affect the ability to safely participate in exercise and if necessary, seek clearance from a medical professional before commencing training with Liv Strong. Additionally, continue to inform Liv Strong coaches with any future medical conditions and/or injuries that I obtain after the commencement of this assessment.
You acknowledge that while training with Liv Strong I will be participating in physical activities which can be strenuous, challenging and may expose me to certain risks to person and property. You agree that participation in all exercises and activities prescribed by Liv Strong and employees, is entirely voluntary and at your own risk. We strongly advise you to consult with your doctor before beginning physical activity and cease any exercise that causes you physical pain or discomfort.
You understand that Liv Strong role is not as a medical health practitioner. Rather, we serve as mentors and/or coaches to guide and help your own health, fitness, and wellness goals.
You recognise the coaches at Liv Strong are not nutritional professionals or medical doctors and it is strongly advised that you consult with these professionals before undertaking any advice provided. You agree that any advice that you undertake is entirely voluntary and at your own risk. Furthermore, you recognise we are also not responsible for any loss you suffer.
You agree to recieve promotion and informative emails form Liv Strong.
You will not hold Liv Strong liable in any way for any injuries, damage or loss that may occur to person and/or property whilst attending a session with Liv Strong.

If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this releasee from liability shall remain in full force and effect and the offending provision or provision severed from here.

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Date signed *