If no, please get permission! You should have your doctor's approval before participating in any strenuous exercise!

I hereby state that I have read and understand all questions on this health history and I have answered to the best of my knowledge. I agree to notify YOUR BODY HIS TEMPLE™ staff if there are any changes in my health status or if I incur any future injury. ***Records will be maintained in a strictly confidential manner in accordance with confidentiality requirements of the Privacy Act.

1. HEALTH ACKNOWLEDGMENT & PHYSICIAN CLEARANCE

I certify that I have been examined by a physician of my choice and have obtained medical approval to participate in strenuous physical exercise within the last thirty (30) days. I also certify that no changes have occurred in my physical condition since obtaining such approval that would limit or impair my ability to participate safely.

I agree to discontinue exercise immediately if I experience undue discomfort, pain, dizziness, or distress, and I will notify the trainer of any health conditions that may affect my participation.

2. ASSUMPTION OF RISK & PARTICIPANT WAIVER

I understand that all physical activity involves inherent risks. These risks may include, but are not limited to, muscle strains, sprains, slips, trips, falls, collisions, stress on the muscular, skeletal, and cardiovascular systems, and—although rare—serious injuries such as fractures, concussions, paralysis, or death.

I knowingly and voluntarily assume all inherent risks associated with YBHT training activities, whether at home, in a gym, corporate facility, commercial setting, or any other location.

In the event of a medical emergency, I understand that EMS may be contacted on my behalf and that I am financially responsible for any medical expenses incurred.

3. RELEASE OF LIABILITY & INDEMNIFICATION

I agree that Your Body His Temple™, its owners, directors, trainers, employees, agents, affiliates, independent contractors, and volunteers shall not be liable for any injuries, damages, or losses that occur as a result of my participation in YBHT programs—except in cases of gross negligence or intentional misconduct.

I fully release, discharge, and agree to indemnify YBHT and all associated parties from any and all claims, actions, demands, judgments, liabilities, and expenses arising from my participation. This release is binding upon my heirs, executors, administrators, and assigns.

4. PAYMENT POLICIES & PROCEDURES

YBHT bills all clients on a pre-pay basis only.

• A one-time $75 processing fee is due with the initial payment before sessions begin.

• Each session lasts approximately one hour and may include 20–30 minutes of cardiovascular training and 30–40 minutes of trainer-guided weight-based training at the trainer’s discretion.

• All payments must be made in advance, either bi-weekly or every 4 weeks, and paid directly to the trainer. Receipts will be provided.

• All clients commit to a minimum of 24 consecutive weeks of training or must pay the remaining balance of the contracted term if they discontinue early.

5. SCHEDULING & CANCELLATION POLICY

YBHT operates on a scheduled appointment basis.

• A minimum of 24 hours’ notice is required for cancellations.

• Sessions canceled within 24 hours of the scheduled time will be charged at the full session rate.

• Sessions canceled with proper notice must be made up within the same week to receive credit.

• No-shows or repeated late cancellations may result in forfeited sessions or termination of the contract.

6. FITNESS & LIFESTYLE COMMITMENT CONTRACT

By signing below, I acknowledge that I am making a personal commitment to improving my health and well-being through the YBHT program. I understand that lasting results require consistency, lifestyle adjustments, and adherence to the guidance provided.

I agree to actively participate, follow trainer instructions, and make the necessary lifestyle modifications to help me reach my goals.

7. FULL UNDERSTANDING & VOLUNTARY AGREEMENT

I have fully read and understand all terms in this Master Agreement.
I acknowledge that I am signing voluntarily, with full knowledge of its significance, and that all questions regarding this agreement have been answered to my satisfaction.