Informed Consent Agreement

Description of the Exercise Program

I understand that my exercise program will involve participation in a number of types of fitness activities. This agreement applies to in-person gym, in-person outdoor, remote (Zoom and FaceTime), as well as online programming. These activities will vary depending upon my established objectives, but may include:

aerobic activities including, but not limited to, the use of treadmills, stationary bicycles, step machines, rowing machines, ellipticals, running roads/trails, plyometric stations/equipment, and medicine balls.
muscular endurance and strength building exercises including, but not limited to, the use of free weights, weight machines, physioballs and other exercise apparatus; plyometric stations/equipment, and body weight exercises.
yoga and/or stretching and mobility exercises.

Description of Potential Risks

The personal trainer has explained that no exercise program is without inherent risks and that, regardless of the care taken by my personal trainer, he/she cannot guarantee my personal safety. I realize that when participating in any exercises or conditioning activity, there is always a possibility that minor injuries, major injuries, or catastrophic injury / death may occur.

If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages which may incur through participation.

Description of Potential Benefits

I understand that a regular exercise program has been shown to have definite benefits to general health and wellbeing. Some of the physiological benefits of a regular exercise program can include change in body composition, improvement of blood lipids, lowering of blood pressure, improvement in cardiovascular function, reduction in risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility. I further understand that regular exercise can have psychological benefits, often improving one’s outlook and feeling of well-being, as well as relieving tension and stress.

Client Responsibilities

I understand that it is my responsibility to:

fully disclose any health issues (including diabetes, heart problems, seizures, and asthma) or medications that are relevant to participation in a strenuous exercise program.
inform the trainer if there are activities with which I do not feel comfortable.
cease exercise and report promptly any unusual feelings (e.g., chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program
clear my participation with my physician

Client Acknowledgements

In agreeing to this exercise program, I,:

Acknowledge that my participation is completely voluntary, and that I may be dismissed from the program at the sole discretion of the trainer.
Understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks.
Give consent to physical touch that may be necessary to ensure proper technique and body alignment. I also reserve the right to deny consent at any time, and will clearly make this known to the personal trainer.
Understand that the achievement of health or fitness goals cannot be guaranteed.
If I am pregnant, become pregnant, or am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate.
Acknowledge that I am in good physical condition, have no impairment which might prevent participation in such activities, and have been advised to consult a physician prior to beginning this program.
Have been advised to cease exercise immediately if I experience unusual discomfort and feel the need to stop.

COVID-19 Considerations (updated July 2023)

If attending an in-person session, I agree to the following:

I will stay home if I have a cough, fever or symptoms of COVID-19. If I have tested positive for COVID-19, or have knowingly come into close contact with someone who has, I will not attend workouts until I have tested negative for COVID-19.
I will wash my hands (with hand sanitizer) after coughing, sneezing, blowing my nose or touching my face.
Masks are optional for all training sessions. Trainer Meg will happily wear a mask at your request.

I have read and understand the above agreement. I have been made fully aware of, and understand, the potential risks involved in this physical fitness program. I hereby consent to those risks and am freely and voluntarily participating in this program. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Meghan Brown Personal Training, LLC. Finally, I am freely signing this agreement.

Informed Consent

By checking this box and typing my name below, I am electronically signing this agreement.

Your Name

Or child's name, if signing for a minor under 18.

First Name

Last Name

Parent or Legal Guardian Name (if signing for a minor under 18)

First Name

Last Name

Emergency Contact - Name

Emergency Contact - Phone

(###)

###

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Photo Release: I hereby grant Meghan Brown and Trainer Meg Personal Training permission to use my likeness, in print, video, or digital form, for the purpose of education, promotion, marketing, and communications, in its brochures, newsletters, websites, e-mails, and videos, without compensation. I understand that all images and materials from this photo or video shoot are the property of Meghan Brown and Trainer Meg Personal Training. I release all claims with respect to copyright ownership and publication, including any claim for compensation related to the use of the materials. I certify that I am at least 18 years of age.

Yes, I consent.

No, I decline to have my image used.