Liability Waiver for Clients of The Ancestral Gift
ACKNOWLEDGEMENT AND RELEASE OF LIABILITY
By electronically signing the form below, “I Accept”:
I acknowledge that my participation in health and wellness coaching is expressly conditioned on my agreement to each of the terms of this document.
I agree to employ the Health Coaching Services of The Ancestral Gift, Janos Homoki (Janos), so that I can obtain information and guidance about health factors within my own control, utilizing a holistic health approach that includes diet, nutrition, fitness and related lifestyle behaviours. I understand that all comments, ideas, suggestions, and protocols offered by The Ancestral Gift (Janos) are solely for the purpose of aiding me in achieving my defined wellness goals.
The Ancestral Gift (Janos) is not a physician, registered dietician, or psychologist, and the scope of consultation services do not include treatment or diagnosis of specific illness of disorders.
If I suspect I may have an ailment or illness that requires medical attention, I will consult a licensed physician without delay. I acknowledge that while people generally experience greater health and wellness as a result of embracing a healthier attitude, lifestyle and diet, The Ancestral Gift (Janos) does not guarantee improvement in current illness, situation or protection from future illness.
I acknowledge that this coaching program is continuous throughout the agreed period. This is a holistic Health and Life-Coaching program and takes place in person, online via e-mail, app, texts or voice calls. While this is a personal program, it does not have to take place in person only. If I am travelling for business or on vacation, if my coach is travelling, the program continues during the agreed period. I agree to not take breaks from the program, as this would impact the results negatively. I agree to be accountable, follow my coaches advise and adhere to the program, as well as complete all required feedback questions and forms.
I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various 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 hereby release The Ancestral Gift (Janos) and his agents from any claims, demands, and causes of action as a result of my voluntary participation and enrolment in this program.
I hereby release The Ancestral Gift (Janos) and his agents from any liability now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, strokes, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, injuries to knees or other joints of the body, injuries to back, injuries to a foot, heat prostration, or any other illness or soreness that I may incur, including death. This is a complete and irrevocable release and waiver of liability. Specifically, and without limitation, I, on behalf of myself, hereby release The Ancestral Gift (Janos) from any liability, claim, or cause of action arising out of The Ancestral Gift’s (Janos) negligence. I, on behalf of myself, covenant not to sue The Ancestral Gift (Janos) for any alleged liabilities, claims, or causes of action released hereunder.
I further agree to indemnify and hold harmless and defend The Ancestral Gift (Janos) from any and all claims resulting from injuries or illness (including death), damages, or loss, including, but not limited to attorneys’ fees, sustained by me arising out of, connected with, or in any way associated with my participation in wellness activities, diet or lifestyle change.
I have read and fully understand this Acknowledgement and Release of Liability set forth above, including the release of all claims, including claims for the negligence of the Released Parties.
I am 18 years old or older. I understand that my signed waiver will be retained in my client personnel file. This document is binding upon me and my heirs, children, wards, personal representatives and anyone else entitled to act on my behalf.
By electronically signing the form below, “I Accept”.