Andrew's Client Intake & Liability Waiver Form
PLEASE READ AND FOLLOW INSTRUCTIONS TO BOOK AN APPOINTMENT

1) Please READ below, EACH question MUST be FILLED otherwise the form won't be submitted.

2) TEXT 780-804-0517 to make an appointment with Andrew

In person appointment reminders are sent via email and text 24 hr before your appointment.

Please note that there is a cancellation and no refund policy in effect listed below.

By filling out this form you are accepting this waiver & release of liability & all of the terms and conditions indicated below. Thank you.
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Emergency Contact, Phone Number, Email & Relationship to you
How did you hear about us? OR from whom? *
What are your goals & wanting to achieve? *
Please list medical conditions and allergies you currently have. *
List any surgeries or injuries *
List any medications you are on & what they are for *
Where do you work and what do you do? *
Have you seen a Personal Trainer or fitness coach before? *
What are services are you interested most in? *
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To secure your appointment please add your CC. CC's are safely secured & will ONLY be charged for "No shows/late cancellations or unpaid session(s)" *terms & conditions*.                                                                                                                                                             Name on CC --  CC # -- EXP# --  CVV# --  Postal Code                                                                                       *
Your preferred time slots will align with our availability. New clients may be placed on our waitlist/cancellation list. Please specify your general availability during the week. (Note: We are Closed Sundays) *
LIABILITY WAIVER & TERMS & CONDITIONS. MUST READ.
PERSONAL TRAINING RELEASE WAIVER

I have volunteered to participate in a fitness program provided to me by Andrew Bambury of Infinite Strength, which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. In consideration of Infinite Strength’s agreement to instruct and train me, I do here now and forever release and discharge and hereby hold harmless Infinite Strength and their respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom.

THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT BELONGING TO INFINITE STRENGTH OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, OR DROPPING OF EQUIPMENT; (3) AND/OR NEGLIGENT INSTRUCTION OR SUPERVISION.

I have been informed of, understand and am aware that any exercise program, whether or not requiring the use of exercise equipment, is a potentially hazardous activity.

I also have been informed of, understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved.

I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program or initiating a substantial change in the amount of regular physical activity performed.

If I have chosen not to obtain a physician’s consent prior to beginning this fitness program with Infinite Strength, I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness-related activities and/or exercises in which I participate.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST INFINITE STRENGTH FOR YOUR NEGLIGENCE OR THAT OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS.

This form is an important legal document that explains the risks you are assuming by beginning an exercise program. It is critical that you have read and I understand this document completely. If you do not understand any part of this document, it is your ultimate responsibility to ask for clarification prior to accepting and clicking below.

PAYMENT POLICY/CC ON FILE

I understand that prices are subject to change at any time and it is MY responsibility to review prices on the website to confirm I am paying the correct amount for my appointment.

Upon booking, I agree that my credit card is on file to hold the appointment. I also agree that It will not be charged UNLESS, I have a no-show appointment or I have unpaid/outstanding sessions on file or schedule changes/cancellation is made less than the 24 hours notice policy. I agree to prepay on the day of my appointment with the credit card that is also on file.

I understand that Infinite Strength is a private clinic and does not do any direct billing.

I understand that should I choose to purchase a package they have an expiry from the date of purchase based on the package purchased.

I understand that: 

1-ON-1 sessions are NOT applicable to 2-ON-1 sessions. If one client doesn't show up for the 2-ON-1 booked session it is still considered a 2-ON-1 session. 

EXPIRY OF PACKAGES POLICY

5 sessions: 2 month
10 sessions: 3 month
20 sessions 5 months

TIME OF SESSIONS & PUNCTUALITY:

I understand that the time of sessions involves:

Sessions are 50-60 minutes in length.

I understand that I must be on time for my appointment and there will be no extra time provided at the time the session is scheduled to be over.

If I am late for a session, I understand I may lose sometime during that session time


NO REFUND POLICY IS IN EFFECT 

I understand that there is no refund policy in effect. I also understand and accept that expired sessions will not be refunded or honoured.

Clients are responsible to keep track of their sessions remaining.  

Please contact admin@infinitestrength.ca to get receipts, payments settled, and session balance. 

CANCELLATIONS, NO-SHOW POLICY & PUNCTUALITY

I understand and agree that I must provide at least 24 hours' notice of cancellation or re-scheduled session or I forfeit the value of that session. i.e. I will be charged on the CC I have on file/lose a session from my package purchased. 

A charge of $80 plus tax will be charged if there is no package purchased. I authorize my credit card information to be charged for the $80 plus tax Cancellation Fee based on these conditions.

If the Client or Practitioner/Coach is sick there is no cancellation fee charged, vice versa the Practitioner/Coach does not owe the client if they had to cancel under short notice due to being sick. Any other reasons for cancelling either party will incur the cancellation fee charge or make session (no charge to the client) will be provided for the next session.  

I understand that this is necessary because of the time commitment made for me and it is held exclusively for me. 

PRIVACY POLICY

Infinite Strength collects, uses and discloses health information according to the Personal Health Information Privacy Act Infinite Strength is committed to taking steps to protect your personal health information from theft, loss and unauthorized access, copying, modifications, use, disclosure and disposal and to protecting your privacy and only using your personal health information for the purposes you consent. Infinite Strength cannot reveal information about me without my written permission except where disclosure is required by law.

GOVERNING LAW & JURISDICTION

These Terms and any dispute or claim arising out of or in connection with their subject matter or formation, including non-contractual disputes or claims, shall be governed by and construed in accordance with the laws of the Province of Alberta and the laws of Canada applicable therein. You agree that the courts of the Province of Alberta shall have exclusive jurisdiction to settle any dispute or claim arising out of or in connection with the subject matter or formation, including non-contractual disputes or claims, of these Terms.

CONFIDENTIALITY & RESPONSIBILITY

I understand that I am responsible for my own health and wellbeing. I also understand I have the ability to heal myself by reconnecting to the Source of all healing I understand it is my responsibility to advise Andrew Bambury of anything that might help us work together better to achieve the help I seek. I further understand any services performed by Andrew Bambury are not a substitute for adequate medical care and I intend to remain under the care of my primary healthcare provider.

I understand that Andrew Bambury will seek required medical attention/other professionals when my health and safety are in jeopardy.

I agree that I am here on my own behalf and not as an agent for any federal, provincial, municipal or professional agency on a mission of entrapment or investigation.
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I have read all the terms & conditions above. I have filled out the information requested as 100% accurate and to the best of my knowledge. I accept this waiver & release of liability including all the terms and conditions indicated on this form. *
A copy of your responses will be emailed to the address you provided.
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