XBody EMS training

Client’s Consent

Please read and sign before your first XBody EMS session. It goes straight to Coach Dave.

Personal data

Name Date of birth E-mail Phone

Declaration

I declare to undergo XBody EMS training willingly and through my own responsibility.
I declare that I am aware of the basics of the Electrical Muscle Stimulation (EMS) training method, including any and all circumstances which contraindicate the training, for instance, cases in which medical consultation is obligatory or advised and the further warnings and notes as is detailed on page 2 of this document.
I declare myself to be able to undergo XBody EMS training with respect to my current mental state, health and physical status.
I declare that I am not aware of any contraindication (described below) that may exclude me from the training.
I declare that I have received any and all obligatory medical consultations for the circumstances described below.
I declare that I will abide by the rules related to the preconditions, aftereffect and the training.
I declare to inform my physician and XBody Trainer in case of any change in my mental, physical and health status.
I declare to inform my doctor or any other Medical professional involved in my care, in case of any medical intervention of undergoing the XBody EMS training.
I declare that in case of omitting or noncompliance with the terms of this agreement I undergo the training fully and completely through my own responsibility.
I declare that I will not hold XBody Hungary Kft. nor the XBody Trainer responsible if any of my unknown mental, health or physical conditions cause side effects or complications of any kind.
I declare that I will not hold XBody Hungary Kft. nor the XBody Trainer responsible in case of any side-effects, complications, lesions or any undesired change in my physical or health status.
I understand that risks due to the long-term effects of EMS training are unknown, therefore I will not hold XBody Hungary Kft. nor the XBody Trainer responsible for any undesired effect.
I declare to follow the instructions given by the XBody Trainer before, during and after the training.
Due to the necessity of close personal contact while putting on and removal of the Training Suit, I declare that in no way should this be misconstrued to be a sexual advancement or harassment of any kind.
I contribute that my personal and training data will be registered and used.

I understand and accept to be bounded by the contents of all of the above mentioned declarations.

Signature

Sign with your finger or mouse.

Doctor’s note

If you have a medical condition, attach a note from your doctor (photo or PDF).

Fields marked * are required. Your form goes privately to Shaka Strength Fitness.