Health Declaration & Waiver

Please fill out the below form fully and truthfully before you join your first Motiv8 session.

Full Name

Email Address

Emergency Contact

Please confirm all of the following that apply to you:

Previously diagnosed with a Heart Condition.

Currently being presribed drugs for blood pressure and/or a heart condition.

Been told by a doctor to refrain from physical actvity in the past 3 months.

Feel chest pain when doing physical activity.

Felt chest pain when not doing physical activity in the past month.

Lost your balance due to dizziness or lost consciousness.

Have bone or joint problems (for example, back, knee or hip) that could be made worse by a change in your physical activity.

None of the above.

You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge your Motiv8 Fitness Trainer from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against your Motiv8 Fitness Trainer for personal injury or property damage.View Liability Release

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