New Client Intake & Waiver — Guidelinefit
Required Before Your First Session

New Client Intake & Waiver

Takes about 3 minutes. This covers your health history and our liability waiver so we can stretch you safely.

Contact Information

So we can confirm your session and reach you if anything comes up.

Health History

Based on a standard PAR-Q+ screening. Answer honestly — this helps your coach adjust technique, not disqualify you.
Has a doctor ever said you have a heart condition, or told you should only do physical activity recommended by a doctor?
Do you feel pain in your chest, or become dizzy or lose balance during physical activity?
Do you have a bone, joint, or soft-tissue problem (back, knee, hip, shoulder, etc.) that could be made worse by stretching?
Have you had surgery, an injury, or a hospital stay in the last 12 months?
Are you currently pregnant, or have you given birth in the last 6 months?
Are you currently taking any medication that could affect your ability to exercise safely (e.g. blood thinners, blood pressure medication)?

Assumption of Risk & Liability Waiver

Please read in full before signing below.

Assumption of Risk. I understand that stretching, assisted stretching, Proprioceptive Neuromuscular Facilitation (PNF), and other manual or hands-on techniques offered by Guidelinefit involve physical contact, movement of my joints and soft tissue, and physical exertion, and that such activity carries an inherent risk of injury, including but not limited to muscle strain, joint sprain, and aggravation of pre-existing conditions.

Health Disclosure. I confirm that the health information I have provided above is accurate and complete to the best of my knowledge, and I agree to inform my coach of any change in my health status before future sessions.

Release of Liability. In consideration of being permitted to participate in services offered by Guidelinefit, I, on behalf of myself, my heirs, and personal representatives, release and hold harmless Guidelinefit, its owners, coaches, and staff from any and all claims, demands, or causes of action arising out of the ordinary negligence of Guidelinefit, its owners, coaches, or staff in connection with my participation. Consistent with Michigan law, this release does not waive, and does not apply to, claims arising from gross negligence or willful and wanton misconduct.

Governing Law & Venue. This agreement is governed by the laws of the State of Michigan, without regard to conflict-of-law principles. Any dispute arising from this agreement or my participation shall be brought exclusively in the state or federal courts located in Kent County, Michigan.

Consent to Hands-On Technique. I consent to my coach using manual contact and assisted stretching techniques as part of my session, and understand I may withdraw this consent, or ask my coach to stop or adjust technique, at any point during a session.

Minors. If this form is being signed by a parent or legal guardian on behalf of a client under 18, please note: under Michigan law (see Woodman v. Kera, LLC, 2007), a parent or guardian's signature releases only the parent/guardian's own claims and does not waive the minor's own personal right to bring a claim for their own injuries after turning 18. This section does not eliminate Guidelinefit's potential liability to a minor client and is included for transparency, not as a substitute for legal guidance specific to minor clients.

Photo/Media Release (optional). Checking the box below separately gives Guidelinefit permission to use photos or video of me taken during sessions for marketing purposes. This is optional and does not affect your ability to book sessions.

Cancellation Policy. I understand that sessions cancelled with less than 24 hours' notice, or missed without notice, may be subject to a cancellation fee as described by Guidelinefit's current policy.

Signature

Type your full legal name to sign. This serves as your electronic signature.

This form is stored securely and reviewed by your coach before your first session.

✓

You're all set

Your intake form and waiver have been received. See you at your session — if anything on your health history needs a quick chat first, your coach will reach out before then.