Personal Training, Westport, CT : Sherpa
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    • Triathlon Program
      • Generalized Triathlon Program
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      • A La Carte
    • Beyond The Gym
      • The Coast Ride
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Step 1 of 2

50%
  • Health History

  • Date Format: MM slash DD slash YYYY
  • 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.

  • Please check Yes or No

  • I have read, understand, and completed this questionnaire. Any questions that I had were answered in my full satisfaction. I understand I will complete an updated Health History Questionnaire if I have a known change in my health status
  • Date Format: MM slash DD slash YYYY
  • WAIVER OF LIABILITY FOR GYM USE

    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.

  • Date Format: MM slash DD slash YYYY
  • (Parent’s signature if under 18 years of age)
    I represent that I have legal capacity and authorize to act on behalf of the minor named herein.
  • Date Format: MM slash DD slash YYYY
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About Sherpa

Sherpa serves the entire spectrum of clients, most of whom live locally. No goal is too big or too small to fit within our approach. We handle each case with the same ethos – your goals are our goals.

Useful Links

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  • New To The Area
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  • Health History and Liability Form
  • Privacy Policy
  • Blog

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Stay up-to-date with the latest Sherpa happenings.

Contact Us

1555 Post Road E
Westport CT, 06880

Phone: 203-255-2320
Email: info@sherpafit.com

© 2021 Personal Training, Westport, CT : Sherpa.

  • COVID SAFE
  • GET STARTED
  • EXPERIENCES
    • Cycling
    • Mountains
    • Trails
  • SERVICES
    • Personal Training
      • Executive Leadership Training
    • Group Training
    • Beyond Training
    • Coaching
    • Cycling Program
      • Indoor Cycling Center
      • SHERPA University
      • Outdoor Cycling
      • Strength Training
      • Racing
      • Cycling for Charity
      • Bike Shop & Retail
      • Wheel Rental Program
    • Running Program
    • Triathlon Program
      • Generalized Triathlon Program
      • Individualized Coaching
      • A La Carte
    • Beyond The Gym
      • The Coast Ride
  • TEAM
  • STORY
  • OUR CLIENTS