Michael G’s Sports and Fitness Training LLC Agreement Form

I.	Mike Lariza have been requested by _______________________________________ to provide and administer a sports and/or fitness training program. Terms of this agreement are as follows:
A.	Plan and implement a training program which will consist of _______ weekly training session(s) of at least 40-50 minutes per training session, paid in full, upfront. This agreement is on a session to session basis and may be cancelled at any time by any or all of the below signed persons.
II.	I hereby declare that I am in good health and I am properly conditioned to participate in the aforementioned sports and/or fitness program. I have a physician’s authorization to begin the sports and/or training programs recommended by Mike Lariza, sports and fitness consultant.
III.	I absolutely relieve Mike Lariza, Michael G’s Sports and Fitness Training LLC, attending physician and any facility, of any responsibility for any injury, loss of damage to myself or my property which I may sustain in the course of, or in connection with, participation in this training program.

I also verify that I am of at least 18 years of age, if younger than 18 years of age, then Parental or Legal Guardian authorization is required.

Date:______________________________

Signature:_______________________________________________
		Mike Lariza, Fitness Consultant

Signature:_______________________________________________
		Participant

Signature:_______________________________________________
		Parent/Legal Guardian

My contact information:
Phone: 503-869-0588
Email: mglsportsandfitness@gmail.com