Youth PAR-Q

Emergency contact relationship to child
In signing this form, I, the parent/guardian of the aforementioned child, affirm that I have read this form in its entirety and I have answered the questions accurately and to the best of my knowledge. I understand that my child is responsible for monitoring him or herself throughout any activity, should any unusual symptoms occur, would ease participation and inform the instructor. If medical clearance must be obtained before my child's participation in an exercise session, I agree to contact the child's physician and obtain written permission prior to the commencement of the exercise activity, and that the permission be given to the instructor. I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct.
I have volunteered to participate in a physical competition under the direction of SOVRN Coaching & Fitness, which will include, but may not be limited to, weight and/or resistance training. In consideration of the SOVRN Coaching & Fitness' agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless SOVRN Coaching & Fitness, and their respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT AND (3) OUR NEGLIGENT INSTRUCTION OR SUPERVISION.
I recognize that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure; fainting; disorders in heartbeat; heart attack; and, in rare instances, death. I understand that as a result of my participation, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life. I recognize that an examination by my physician must be obtained prior to involvement in this exercise program. I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST SOVRN COACHING & FITNESS, or OTHERS REFERRED TO IN THIS DOCUMENT FOR ANY NEGLIGENCE OR THAT OF OUR EMPLOYEES, AGENTS, OR CONTRACTORS.
§ The client understands that they are paying the trainer for their services as outlined in this agreement. In the event that the client doesn’t use the services, the client will still be responsible to make payment for the full initial payment to the specifications of the services' terms of use.
The trainer will deliver their sessions and advice to the best of their ability, and according to the National Strength & Conditioning Association’s Standards (NSCA).
§ The client agrees to make all payments by the due date.
Clear Signature