TRAINER CONSENT FORM

usathleteteam@gmail.com • 631-678-5507

Please complete this online form,
or print out and complete this PDF version: USAthlete Trainer Consent Form - PDF


Informed Consent and Waiver of Liability Form

I, the undersigned, have agreed to participate in a USAthlete Inc. training program and all related sessions (the “Program”) as a trainer/instructor. I recognize that my participation in the Program is entirely voluntary on my part.  In consideration of allowing me to participate in the Program, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE USAthlete and its officers, servants, agents, employees and contractors (each as “Releasee”), for and from any and all liability claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any of my property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE, trainers or participants in the Program, or otherwise, while participating in the Program, or while in, on or upon the premises where the Program is being conducted.

I am fully aware of the risks and hazards connected with the Program, including without limitation, bodily injury, abnormal breathing, abnormal blood pressure, fainting, irregular heart beat and in very rare instances, heart attack. I have been informed that physician’s approval has been suggested and recommended prior to participating in the Program. I understand the strenuous nature of the Program and related training process.  I represent that I am in good physical condition and I am not aware of any physical infirmity which would place me at risk.  I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to my property, as a result of being engaged in Program’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE, trainers or participants in the Program, or otherwise.  

It is my express intent that this Informed Consent and Waiver of Liability shall bind the members of my family, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the RELEASEE. I hereby further agree that this Informed Consent and Waiver of Liability shall be construed in accordance with the laws of the State of New York.

I acknowledge that signing this Informed Consent and Waiver of Liability is a material inducement for USAthlete to permit my participation in the Program, and but for my agreement to be bound by the provisions hereof, USAthlete would not accept me as a trainer/instructor.

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I, the undersigned, have agreed to participate in a USAthlete Inc. training program and all related sessions (the “Program”) as a trainer/instructor. I recognize that my participation in the Program is entirely voluntary on my part.  In consideration of allowing me to participate in the Program, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE USAthlete and its officers, servants, agents, employees and contractors (each as “Releasee”), for and from any and all liability claims, demands, or course of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any of my property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE, trainers or participants in the Program, or otherwise, while participating in the Program, or while in, on or upon the premises where the Program is being conducted. I am fully aware of the risks and hazards connected with the Program, including without limitation, bodily injury, abnormal breathing, abnormal blood pressure, fainting, irregular heart beat and in very rare instances, heart attack. I have been informed that physician’s approval has been suggested and recommended prior to participating in the Program. I understand the strenuous nature of the Program and related training process.  I represent that I am in good physical condition and I am not aware of any physical infirmity which would place me at risk.  I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to my property, as a result of being engaged in Program’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE, trainers or participants in the Program, or otherwise.   It is my express intent that this Informed Consent and Waiver of Liability shall bind the members of my family, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the RELEASEE. I hereby further agree that this Informed Consent and Waiver of Liability shall be construed in accordance with the laws of the State of New York. I acknowledge that signing this Informed Consent and Waiver of Liability is a material inducement for USAthlete to permit my participation in the Program, and but for my agreement to be bound by the provisions hereof, USAthlete would not accept me as a trainer/instructor.