Acknowledgement of Purchase

I, the “Client”,  hereby acknowledge and agree to participate voluntarily in a program of physical exercises, including but not limited to, strength training, flexibility development, aerobic exercise and/or nutritional guidance other wise known as ‘Training Program’ under the guidance of Allison Ethier ‘Trainer’ &, to be carried out at the gym of choice as decided by the ‘Client’.

Acknowledgement of Health

I declare myself physically and mentally sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in training sessions or use of Equipment.

I acknowledge that I have been informed of the need for a physician’s approval for my participation in an exercise/fitness activity or in the use of Equipment.

I recognize it is my sole responsibility to obtain an examination by a physician prior to involvement in any exercise program.

I acknowledge I have either had a physical examination and have been given my physician’s permission to participate, or if I have chosen not to obtain a physicians permission prior to beginning this exercise program with Trainer, I acknowledge I am doing so at my own risk.

Assumption of Risk

I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardio respiratory system (dizziness, discomfort in breathing, heart attack or death).

I recognize that accidents/injury may occur resulting from the use of the equipment, including any slips or falls or equipment malfunctions. I hereby certify that I know of no medical problem (except those noted in my client questionnaire) that would increase my risk of illness and injury or inhibit me from participation in a regular exercise program.

The Training program can be dangerous, exposing participants to many risks and hazards, some of which are inherent in the very nature of the activity of itself, other which results from human error and negligence on the part of the persons involved in the preparation of organization, and staging of the Training Program sessions, classes, and other activities.

I am voluntarily participating in Training Program and using equipment with knowledge of the dangers involved. I understand and take sole responsibility for any and all injuries and/or changes that many occur to myself and/or other’s including but not limited to Allison, her associates, related to any and all Training Program associated with Allison Ethier’s instruction, even if not specifically set forth in this document whether or not they fall within the scope of reasonably foreseeable injuries related to such Training Program and whether or not undertaken in the Allison Ethier’s presence.

I acknowledge and am aware of the aforementioned risks and hazards, I as a participant may suffer serious personal injury, even death, as well as property loss. That some of the aforesaid risks and hazards are foreseeable but others are not. Although Allison Ethier, and her associates will take precautions necessary to ensure my safety, such as selection of appropriate exercises based on the current level of experience of the Client, I expressly assume and accept sole responsibility for my safety and for any and all Injuries and/or changes that may occur.

Waiver and Release of Liability

In consideration of Allison Ethier’s agreement to instruct, assist and train me, I hereby agree to hold harmless Allison Ethier, and its respective representatives, executors, agents, and assigns from any and all claims, demands, damages, right of action or causes of action, present or future, arising out of or connected to my participation in any and all Training Program, use of equipment or any and all actions or omission including negligence by Allison Ethier and her representatives.

This waiver and release of liability includes all of the above mentioned risks, as well as but is not limited to, the following;

(a) Injuries and changes to myself and or others including but not limited to Trainer, that may occur as a result of
(i) equipment that may malfunction or break;
(ii) an and all defects, latent or apparent in the design or condition of equipment;
(iii) any and all slips, falls or dropping of equipment;
(iv) any and all improper maintenance of equipment or facilities;
(v) any hazardous condition that may exist on the premises, including but not limited to, the specific workout area, and;
(vi) Trainer’s negligent instruction or supervision;

(b) damage to property, including but not limited to Equipment and the premises.


I acknowledge and agree no warranties or representations have been made to me regarding the results I will achieve from this program. I understand the results are individual and may vary.

I acknowledge I have thoroughly read this waiver and release and fully understand it is a waiver and release of liability. By signing this document, I am waiving any right I or my heirs and /or assigns, may have to bring any and all legal actions or assert any and all claims against Trainer, its respective representations, executors, and/or assigns.

I represent and warrant I am signing this agreement freely and wilfully and not under fraud or duress.

“Le presente est redigee en Anglais à las demande expresse des parties”

“The present document is written in English at the expressed request of the parties”