Step 2 of 2

Program Release Waiver:

Electronic Signature *

I the undersigned patron of THE VERSATILE ATHLETE LLC. (THE VERSATILE ATHLETE) hereby state and represent as follows:

1. I confirm that I am medically fit to participate in any of THE VERSATILE ATHLETE's programs. The information I have provided to THE VERSATILE ATHLETE about my medical and physical condition is accurate and true to the best of my knowledge.

2. I understand that my participation in any of THE VERSATILE ATHLETE'S programs is voluntary. I have the right to withdraw from any of the programs at any time. However, I acknowledge that if I choose to withdraw, I am still responsible for any financial obligations that I may have incurred in the course of my participation.

3. Neither THE VERSATILE ATHLETE nor any of its agents or representatives, has guaranteed me success in any of the programs.

4. I hereby agree to forever waive any claims that I have against THE VERSATILE ATHLETE or its agents or employees as a result of my participation in any of THE VERSATILE ATHLETE’S programs. This release shall be binding on my heirs, legal representatives, and assigns.

5. I hereby give my consent to THE VERSATILE ATHLETE to use the data collected during my participation in its programs in reports or publications. However, my identity will not be disclosed in any such reports, unless I have explicitly given my consent to do so.

6. I am aware of THE VERSATILE ATHLETE’S late/no-show policy, which states that if I do not show up for my appointment within 15 minutes of the session time, THE VERSATILE ATHLETE has the option of counting that session as if it were used.

7. In the event of physical injury resulting from my participation in any of THE VERSATILE ATHLETE’S programs, no medical or monetary compensation will be provided to me by THE VERSATILE ATHLETE. I will assume and pay, either personally or through my own medical insurance coverage, for all medical bills or expenses incurred as a result of my participation in THE VERSATILE ATHLETE’S programs.

8. Risk and discomforts: When participating in athletic development programs, as with any sport/athletic activity, there exists the possibility of straining muscles and spraining ligaments. THE VERSATILE ATHLETE will try to minimize these risks. It is not uncommon to experience some delayed onset muscle soreness when starting a conditioning program.

I have read this release and the information provided to me by THE VERSATILE ATHLETE, and I understand that I am signing a complete release from any claim resulting from my participation in any of THE VERSATILE ATHLETE’S programs.

Athlete's Name

First Name

Last Name

Parent or Guardian (for athletes under the age of 18*)

*I confirm that the client mentioned above is under 18 years of age. I have thoroughly reviewed the provided information, and I verify its accuracy. Additionally, I attest that my medical insurance currently covers the client, and I grant permission for the athlete named above to participate in THE VERSATILE ATHLETE'S PROGRAMS.

First Name

Last Name

Electronic Signature

Please provide your electronic signature below to confirm agreement with the terms above. Athletes under 18 require parent/guardian signature.