Green Door Life Training App

Consent & Liability Form:

I hereby affirm that I am entering a course or instruction in physical fitness and/or performance training and/or nutritional consultation. By enrolling in this course I certify that I am cognizant of all of the inherent dangers of physical fitness and therapy, nutrition and diet changes, and the basic safety rules for activities connected herewith.

I understand and agree that neither The Green Door Life, LLC, nor its owners, operators, agents, or instructors may be held liable in any way for any occurrence in connection with my physical fitness and performance or nutrition/diet changes, which may result in injury, death, or damages to me or my family, heirs, or assignees. I further acknowledge and forever release The Green Door Life, LLC, its owners, operators, agents, and instructors in connection directly or indirectly with my physical fitness training and therapy and nutrition/diet changes as a result of The Green Door Life, LLC, its owners, operators, agents, and instructor’s own negligence, which may result in injury, death, or damages to me or my family, heirs, or assignees.

In consideration of being allowed to enroll in this course I hereby personally assume all risks connected with the course, and I further release The Green Door Life, LLC, the instructors, program, agents, and operators, including but not limited to the persons mentioned for any injury or damage which may be incurred by me while I am enrolled in the fitness or performance course and nutrition/diet programs, including all risks connected therewith, whether foreseen of unforeseen; and further to save and hold harmless the program and persons from any claim by me, or my family, estate, or heirs, or assignees, arising out of my enrollment and participation in this course.

I further state that I am of lawful age and legally competent to sign this aforementioned release; that I understand that the terms herein is contractual and not a mere recital; and that I have signed this document as my own free act.

I have fully informed myself of the contents of this aforementioned and release by reading it before I sign it, I have been advised to submit at my own expense and time, to a medical examination to ensure myself, and assume my own responsibility of physical fitness and capability to perform under the normal conditions of the fitness and therapy program and/or nutrition/diet program, and am physically fit as tested by medical examination. I also understand that the owner reserves the right of membership.

I agree that I am purchasing a consulting program, which requires skill and assessment of professional staff. I understand that customized programming is being created solely for me. Due to the proprietary and intellectual property involved, refunds will not be issued.

I am aware that computer e-mail, texts, and e-fax communication, can be relatively easily accessed by unauthorized people and hence can compromise the privacy and confidentiality of such communication. I understand that e-mails, texts, and e-faxes, in particular, are vulnerable to such unauthorized access due to the fact that servers or communication companies may have unlimited and direct access to all e-mails, texts and e-faxes that go through them and while data on The Green Door Life, LLC, staff computers and electronic devices. I understand it is always a possibility that e-faxes, texts, and e-mail can be sent erroneously to the wrong address and computers and that unencrypted e-mail or texts provide as much privacy as a postcard. I agree not to communicate any information to my consultant that I would not want to be included on a postcard that is sent through the Post Office. I understand that e-mail messages on my computer, my laptop, tablet, phone or other devices have inherent privacy risks – including when my e-mail access is provided through my employer or when access to my e-mail messages is not password protected.

I understand that e-mails, faxes, and texts are all part of my clinical records and that phone messages are transcribed and sent via unencrypted e-mails.

I understand that I can decide to avoid or limit, in any way, the use of e-mail, texts, cell phone calls, phone messages, or e-faxes by notifying The Green Door Life, LLC. I understand that if I communicate confidential or private information via unencrypted e-mail, texts or e-fax or via phone messages, it will be assumed that I have evaluated the risks and made an informed decision and The Green Door Life, LLC, will view it as my agreement to take the risk that such communication may be intercepted, and my desire to communicate on such matters will be honored.

Cancellation Policy* We require a 24-hour (or greater) cancellations of appointment rescheduling if applicable. A $130 fee will be billed upon violation of this policy.

Refund Policy. By choosing to accept, I acknowledge that this service is providing intellectual property and therefore does not provide refunds once service purchase is complete.

Participant's Signature and Date

Or, parent/guardian if under age 18. By typing my NAME and DATE below, I agree to be legally bound by this electronic signature: