Liability Waiver for Health and Wellness Coaching/Kurisko and Company

ACKNOWLEDGEMENT AND RELEASE OF LIABILITY

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By electronically signing this form (“I Accept”), I acknowledge and agree to the following terms and conditions:

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1. Assumption of Risk
   I understand that participating in any health, wellness, fitness, or recreational activities involves inherent risks, including the potential for physical injury, illness, or other adverse effects. I voluntarily choose to participate in these activities and fully assume all associated risks.

2. Release of Liability
   I, on behalf of myself, my heirs, executors, and assigns, hereby release and discharge Kurisko and Company (hereafter referred to as Kurisko & Co), its employees, agents, and representatives (“Released Parties”) from any and all claims, liabilities, damages, or causes of action, including but not limited to those arising from the negligence of the Released Parties. This release includes any injuries, illnesses, or losses (including death) resulting from my participation in activities or programs recommended by Kurisko & Co.

3. Covenant Not to Sue
   I agree not to initiate or pursue any legal action or claims against the Released Parties for any liability or damages released under this agreement.

4. Indemnification
   I agree to indemnify, defend, and hold harmless the Released Parties from any claims, damages, costs, or expenses, including attorney’s fees, arising from my participation in wellness activities or from any third-party claims resulting from my actions.

5. Medical Authorization
   In the event of an emergency, I authorize the Released Parties to obtain medical treatment deemed necessary for my immediate care. I accept full responsibility for all costs associated with such medical care.

6. Health Certification
   I acknowledge that I have been advised by Kurisko & Co. to consult with a physician prior to beginning any fitness or wellness program – including nutritional coaching. If I have been diagnosed with diabetes or prediabetes, my physician must sign a separate waiver acknowledging the importance of medication monitoring, which will likely require dose adjustments. I also certify that I am physically capable of participating in fitness activities and have no underlying health conditions that preclude me from participating in a fitness program and/or nutritional coaching as applicable. I agree to use all equipment and participate in activities as instructed and in accordance with applicable guidelines.

7. Acknowledgment of Understanding
   I confirm that I have read and fully understand the terms of this Acknowledgement and Release of Liability. I agree that this waiver is binding upon me, my heirs, assigns, and anyone acting on my behalf.

8. Age Certification
   I certify that I am 18 years of age or older and understand that this signed waiver will be retained in my client file.

9. By electronically signing this form below (“I Accept”), I acknowledge that I have carefully read and voluntarily agree to all terms stated above.

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