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Please let Coach Mike know your Goals for the VPT program so he can help you with your individual needs. You can submit your goals on the 'Your Goals' page under the 'Account' tab on the main menu.


VPT Virtual Private Trainer

Informed Consent and Liability Waiver Release for Participation in VPT Virtual Private Trainer Program

I agree and consent to the following:

I am voluntarily participating in the VPT exercise/fitness program conducted by “1 On 1 Health Fitness”, Virtual Private Trainer. I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above-mentioned program. I represent and warrant that I have no medical condition that would prevent my participation in the program.

I agree to assume full responsibility for any risks, injuries or damage known or unknown, which I might incur as a result of participating in the program. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.

I knowingly, voluntarily and expressly waive any claim I may have against 1 On 1 Health Fitness or “Coach Mike” for injury or damages that I may sustain as a result of participating in the VPT Virtual Private Trainer program.

I or my heirs or representatives forever release, waive, discharge and covenant not to sue the 1 On1 Health Fitness / VPT Virtual Private Trainer / Coach Mike for any injury or death caused by their negligence or other acts.

I agree to be solely liable for any and all physical or emotional damage I may incur while participating in the program. Any companies, organizations or groups that have referred me to the program are held harmless and completely free of liability.

I have read the above waiver and release of liability and fully understand it contents. I voluntarily agree to the terms and conditions stated above.

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