Informed Consent Waiver

I hereby agree to be a participant in a program of strenous physical activity including various types of aerobic & anaerobic excercise and/or nutrtion recommendations as designed by Max Fitness, LLC. I acknowledge that I have been highly recommended to have a physical exam by a licensed physician prior to starting any exercise plan or nutrition recommendation. I hereby arm that I am in good physicial condition and do not suer any disability that would prevent or limit my participation in this exercise plan and/or nutrition recommendation, or cause or aggravate an existing medical condition/injury. I fully understand that illness, disease, injury and/or health related complications up to and including death, accidental or otherwise, may occur to myself as a result of participating in Max Fitness, LLC exercise plans or nutrition recommendations.

In consideration of my participation in any Max Fitness, LLC plans or recommendations for myself, my heirs and assigns, hereby release Max Fitness, LLC and its employees and owners from any claims, demands and causes of action arising from my participation in any exercise plan and/or nutrition recommendation.

I hereby release Max Fitness, LLC from any liability now or in the future including, but not limited to, illness, disease, injury or death, however caused, occuring during or after my participation.

I acknowledge that I have been highly recommended to have a bi-weekly tness assesment by a certied professional in order to monitor my progress.

This program is not intended to diagnose, treat, cure or prevent any existing or future disease and/or medical condition.

By continuing forward, you acknowledge and agree to the above Informed Consent Form

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Please fill out the following form to enable us to customize your plan or reccommendation. This is a critical step for your success. Because these are customized programs, they will be more effective than any other fitness plan or nutrition recommendations on the market

All fields are required

First Name

Last Name

Email

Current Age

Height (in inches)

Weight (in lbs)

How often do you do cardiovascular activity per week?

0-1
2-3
3-4
4 or more

Rate your activity level at work:

1- sedentary
2- mildly active
3- moderately active
4 - very active

Rate your activity level at home:

1 - sedentary
2 - mildly active
3 - moderately active
4 - very active

List your recreational activities:

Fitness, Nutrition, Wellness Goals and Additional Information:

By checking here, you agree to the terms and conditions of the Informed Consent Waiver

 

Download the Informed Consent Waiver

 

DVD Fitness Coach "6 pack" Ab Plan

A customized DVD ab routine of 6 exercises to use in the home or in the gym to reshape, flatten and define your abdominal muscles to give you that 6 pack appearance. Includes a detailed brochure with a specific exercise prescription, important coaching points and more.

$25.00

DVD Fitness Coach Quick Fit Plan

A customized DVD exercise routine of 6 exercises that will maximize results in a minimum amount of time. In only 12-15 minutes per day, you will work your entire body, including the abs and buttocks, and quickly achieve amazing results. Includes a detailed brochure with a specific exercise prescription, important coaching points and more.

$25.00

DVD Fitness Coach Level II Customized Fitness Plan

A customized DVD exercise routine of 12 exercises tailored to your needs and goals - target specific areas of the body or request a total body workout. Includes a detailed brochure with a specific exercise prescription, important coaching points and more.

$35.00

DVD Fitness Coach Level III Customized Fitness Plan

A customized two-DVD exercise routine of 24 exercises tailored to your needs and goals - target specific areas of the body or request two total body workouts. Includes a detailed brochure with a specific exercise prescription, important coaching points and more.

$50.00