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ROOTED
KINGDOM
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Rooted Kingdom
Gym & Fitness Liability Waiver
First Name
Last Name
Email
Date of Birth
Have you discussed any medical conditions with your primary care doctor before attempting any workout?
No
Yes
Please specify anything we should know about
Initials
I declare that the info I’ve provided is accurate & complete
I agree to release Fitness Trainer Herman and Rooted Kingdom from any legal liability from injuries or mishaps that may occur during training session(s), which includes workout programs and fitness nutrition coaching. I hereby assume all risks connected therewith and consent to participate in the programs. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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