Contract & Policies:
Momentum Wellness, LLC is registered with the state of Florida as a health studio. Registration #HS11464
Client agrees to pay for all services rendered by Momentum Wellness, LLC. In the event of a returned check, the client will be held responsible for the bank charges imposed upon Momentum Wellness, LLC and will be held responsible for the payment of any services rendered by Momentum Wellness, LLC
Client services and chart information are confidential. Written authorization is required from you to release any information.
An initial consultation and movement screening must be completed prior to beginning any training program with Momentum Wellness, LLC.
Your scheduled session is set aside for you, even group slots. Please be courteous and punctual. If you must cancel your session, please do so 24 hours in advance. All sessions not properly canceled will be deducted from the sessions remaining in the clients package, or the client will be billed the cost of one session.
Client may cancel training package within 3 days of purchase, excluding holidays and weekends, without penalty, upon written notice. If sessions have been used within the 3 day period, a refund of the remaining balance will be given within 30 days.
Sessions are approximately 1 hour long with a small window of flexibility. If you would like to book extra time, you may do so, but in advance. If you are late, you will be trained for the remainder of the hour. As a courtesy to your trainer and fellow trainees, please be on time.
All packages must be used within a time equal to twice the amount of scheduled sessions. If you have extenuating circumstances, your package may be suspended for a period of 3 Months. At that time, your remaining sessions must be used within a 30 day period.
In the event of the training of a minor (any person under the age of 18) a signature by the parent/ guardian will be required to start physical training. The parent/guardian must be present at the signing of all contracts and agreements made between Momentum Wellness, LLC and the Trainee.
Client Disclosure Agreement:
1. Participant requests to participate in a fitness service offered by Momentum Fitness & Health Studios. As a condition of participation in the fitness program, Participant agrees to supply certain information concerning Participant, including Participant's contact information (address, phone numbers, emergency phone numbers) and Participant's physical and mental condition (“Health Data”) to Momentum Wellness, LLC.
2. Participant's Health Data will be supplied to Momentum Wellness, LLC for the purposes of:
(i) assessing whether the Fitness Program is suitable for the Participant;
(ii) outlining a fitness program for the Participant;
(iii) assessing the Participant's fitness progress.
3. Momentum Wellness, LLC agrees to hold the Participant's Health Data confidential except as Momentum Wellness, LLC may be required to disclose under any law or by order of a court and except as stated below.
a. Participant agrees that Momentum Wellness, LLC may provide such Health Data to 3rd parties in a form that does not associate the Participant's name or contact information with the Participant's Health Data.
b. Participant agrees that Momentum Wellness, LLC may use and publish such Health Data in connection with an assessment of the Fitness Program in a manner that does not associate the name or address of the Participant with the Participant's Health Data.
4. Momentum Wellness, LLC agrees that the Participant's contact information will not be used in a manner that subjects the Participant to solicitation for other products or services except those offered by Momentum Wellness, LLC.
Informed Consent Waiver, Release and Hold Harmless Agreement
for Fitness Program Participant
I, the undersigned participant, am hereby enrolling in a program of strenuous physical activity including but not limited to aerobic dance, weight lifting, stationary bicycling, pilates, yoga, sport specific training and conditioning, flexibility training, Muscle Activation Techniques, and various aerobic conditioning machinery offered by Momentum Wellness, LLC, referred to as Momentum”. I have been strongly encouraged to consult with my physician prior to starting an exercise program or increasing the intensity of an existing program both in this document and by “Momentum”. I assume this responsibility as indicated by my below signature and if I choose to, will act on this advice prior to the implementation of any recommendations made by “Momentum”. I hereby affirm that, to the best of my knowledge, I do not suffer from any condition that would prevent or limit my participation in this Fitness Program and have not withheld any related information from “Momentum”. Or, in the event that through screening, I have been determined to be other than apparently healthy, I have been given a physician's release, as required by “Momentum” to exercise. I am taking no medications that may adversely affect my fitness activities, and this release, with or without physician's restrictions, has been given to “Momentum”. In addition, I acknowledge that if my health changes, it is my responsibility to recognize the change and seek medical advice to help me decide if my continued participation in the Fitness Program or any part of the Fitness Program is still right for me. I fully understand that I may injure myself as a result of my participation in “Momentum” Fitness Program and I hereby release “Momentum”, its Board, employees and agents, from any liability now or in the future for any injury, including, but not limited to heart attacks, death, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness, soreness or injury however caused, occurring during, or after my participation in the fitness program offered unless caused by the trainer's recklessness or intentional misconduct. In consideration of my participation in “Momentum”, I, for myself, my personal representatives, administrators, heirs and assigns, hereby holds harmless “Momentum”, its Board, employees and agents, from any claims, demands, and causes of action, including reasonable legal expenses and attorney's fees, arising from my participation in the Fitness Program unless caused by the trainer's recklessness or intentional misconduct. I hereby affirm that I have read, have been honest with “Momentum”, and fully understand the above information. I have been given the opportunity to present questions in all related matters.