CLIENT INFO – TRAIN WITH WILD BOY PDF + email to hello@joinwildnation.com Full Legal Name * Email * Phone * Age * Preferred Bundle * Select…1 DAY / WEEK – $400/mo2 DAYS / WEEK – $800/mo3 DAYS / WEEK – $1200/mo Training Location * Availability (Days + Times) * Injuries, Surgeries, Medical Conditions, Medications * Emergency Contact Name Emergency Contact Phone Liability Waiver & Release * TRAIN WITH WILD BOY – WAIVER & RELEASE 1. 60-min training at client’s residence gym or commercial gym where client has membership. Trainer does NOT own facility. 2. Trainer is not medical. Disclose injuries/conditions/meds. Stop if pain/dizziness/chest pain. 3. Risks include strain, sprain, fracture, back injury, cardiovascular stress, falls, equipment failure. Voluntarily assumed. 4. To fullest extent MA law, waives/releases Michael Akinyemi d/b/a Train With Wild Boy. 5. Indemnifies Trainer. Participant responsible for access, guest permission, fees. 6. 48hr reschedule, forfeit, 7-day rollover. 18+ or parent/guardian. MA law, Suffolk County. I have read and agree to the waiver. I am 18+ or parent/guardian will co-sign. * Submit & Send PDF to hello@joinwildnation.com
