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REQUIRED LIABILITY FORM
have enrolled in the personalized health and fitness programs offered by Priscilla G. Smith. I recognize that the programs may involve strenuous physical activity including muscle strength and endurance training, cardiovascular conditioning and training, and other fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I recognize that an examination by a physician should be obtained by all participants prior to involvement in any fitness or exercise program, and, if I have chosen not to obtain a physician’s permission prior to beginning a program with Priscilla G. Smith, I do so at my own risk.  
 
          I acknowledge that any exercise program, including this one, is a potentially hazardous activity and that my enrollment and subsequent participation is purely voluntary.
I,
Release and Waiver
          I, on behalf of myself, my heirs, administrators, successors and assigns, hereby forever release, discharge and hold harmless Priscilla G. Smith – Fit2GetFit and its officers, agents, and employees, and Priscilla G-Smith individually (collectively, “Fit2GetFit”), from any and all claims, demands, liabilities, expenses, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any program offered by Priscilla G. Smith – Fit2GetFit, including any injuries resulting therefrom, including heart attacks, muscle strains, muscle pulls or tears, injuries to knees, injuries to the back, injuries to feet, or any other personal, bodily or mental illness or injury that I may incur, including death, and economic loss.
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          This waiver and release of liability include, without limitation, injuries that may occur as a result of (i) my participation in any Priscilla G. Smith – Fit2GetFit program; and (ii) negligence, fault or carelessness of Priscilla G. Smith – Fit2GetFit.  
I further agree to hold harmless and indemnify Priscilla G. Smith – Fit2GetFit  from any liability, claims, court actions, or causes of action for any damage or injury I might suffer or cause to the person or property of other persons while participating in the said activities.
I make this Release of Liability, Hold Harmless Waiver Agreement voluntarily and realizing the consequences of said waiver and such release. Further, I certify that I am over eighteen (18) years of age and I am not acting under any duress, fraud, undue influence or type of mental disability.
 
          I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS AGREEMENT IN 
ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF 
LIABILITY.  BY SIGNING BELOW, I AM WAIVING ANY RIGHT I OR MY 
SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A 
CLAIM AGAINST PRISCILLA G. SMITH – FIT2GETFIT, INDIVIDUALLY.
Health History Form
Liability Form
Measurements Form
MEASUREMENTS  FORM

Thanks for submitting!

   Before Photo Instructions

 

 

There are many reasons I ask you to do 'before' pictures. These pictures will be a great way for us to mark your progress and accomplishments later down the road. Studies show that women who take before pictures are 70% more successful than those who don't. I would be doing you a disservice if I did not ask you to take these photos.

Let me assure you these photos will stay private until the day comes that you are so proud of your 'after' photos that you choose to show them side by side.

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Four pictures to send in

 

1. Front

2. Side (with one arm back enough that we will be able to see how much your waist goes down)

3. Back with arms down

4. Back with arms up (this will really show those arm muscles in your after photos)

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I know you will be glad you did!! Email photos to pri.g.smith@Fit2GetFit.com

Before and After

Phase  1

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Phase  2

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