INFORMED CONSENT

Purpose and Explanation of Procedures

I, the undersigned client, am voluntarily enrolling in a personal training and/or wellness program offered by House of GlamRock. The purpose of the program is to improve my health, strength, flexibility, cardiovascular endurance, and/or overall wellness through structured exercise, movement, and mindset strategies.

I understand that the program will include physical activities such as strength training, cardio, stretching, and mobility exercises, and may include wellness recommendations related to hydration, rest, nutrition, and recovery.

Potential Risks

I understand that:

• Physical activity involves the risk of injury, including but not limited to muscle strain, joint injury, heat-related illness, and cardiovascular complications.

• All efforts will be made to ensure my safety through proper technique, warm-ups, cool-downs, and personalized programming.

• It is my responsibility to communicate any discomfort, fatigue, or symptoms to my trainer immediately.

• I must remain hydrated, follow all safety instructions, and participate within my personal limits.

Potential Benefits

I understand that participation in this program may result in:

• Improved physical fitness and mental clarity

• Increased energy and strength

• Reduced stress and improved overall health

• Increased knowledge of safe exercise techniques and habits

Confidentiality

All personal and health-related information shared with House of GlamRock will be kept strictly confidential and used solely to inform my training and wellness programming.

Voluntary Participation & Right to Withdraw

I understand that participation in this program is voluntary. I may withdraw at any time, for any reason, and I may refuse to perform any activity I am not comfortable with.

Acknowledgment of Understanding

By signing this form:

• I affirm that I have disclosed all known medical conditions, injuries, and limitations.

• I have read and understood the information above.

• I agree to follow the trainer’s instructions and accept responsibility for my participation.

• I release House of GlamRock and its representatives from any liability related to injury or health complications resulting from participation, except in cases of gross negligence.

Client Name: ___________________________ Signature: _____________________________ Date: _______________

Emergency Contact Name & Number: ___________________________