Regular physical activity is safe for most people. The American College of Sports Medicine (ACSM) standards indicate that some individuals should check with their doctor concerning their participation in an exercise program. To help us determine if you should consuit with your doctor, rean the following questions carefully and answer each one honestly. If you answer "YES" to any one of questions 1-12, or answer "YES" to 2 or more of questions 13-19, we will require your private physician's concurrence in order for you to participate in exercise programs at Sherpa. All information will be kept confidential.
I/We hereby understand and acknowledge that the training, programs and events held by the
Sherpa I LLC may expose me to many inherent risks, including accidents, injury, illness, or even
death. I/We assume all risk of injuries associated with participation including, but not limited to,
falls, contact with other participants, the effects of the weather, including high heat and/or
humidity, and all other such risks being known and appreciated by me.
I/We hereby acknowledge my responsibility in communicating any physical and psychological
concerns that might conflict with participation in activity. I/We acknowledge that I am physically
fit and mentally capable of performing the physical activity I choose to participate in.
After having read this waiver and knowing these facts, and in consideration of acceptance of my
participation and the Sherpa I LLC furnishing services to me, I agree, for myself and anyone
entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE the Sherpa I
LLC, its officers, agents, employees, organizers, representatives, and successors from any
responsibility, liabilities, demands, or claims of any kind arising out of my participation in the
Sherpa I LLC training, programs and/or events.
By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am
aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
1555 Post Road E
Westport CT, 06880
© 2020 Sherpa: Personal Training, Westport, CT.