Liability and Waiver Release (2019)
Assessment/Intake
Questionnaire
Athlete Questionnaire
Website developed & constructed by Bob Pates, owner, Pates Running & Racing.
Copyright  
© 2008-2016 Patesrunning.com  All Rights Reserved.
I am fully aware that participating in any exercise program can be a potentially dangerous, hazardous
activity. I am specifically aware of the potential dangers of participating in the
Pates Running & Racing  
and/or
eTRAINING Personal Fitness Training Programs.

In consideration of my acceptance into
Pates Running & Racing (P) and/or eTRAINING Personal
Fitness Training Programs. I, the undersigned (parent or guardian if participant is under 18 years of age)
intending to be legally bound, do hereby for myself, my heirs, executors, administrators, and assigns,
assume any and all risks of participating in said training programs, and I hereby waive and release any and
all rights and claims for damages I may have against
Bob Pates, representatives, successors, and assigns
for any and all injuries, all such risks being known and appreciated by me. I hereby waive and release the
above named persons, and entities, their representatives, employees, successors, and assigns from any
and all claims or liabilities of any kind arising out of my participation in said training programs, even though
these claims and liabilities might arise out of the negligence or carelessness on the part of the persons
named above. I attest and verify that I am physically fit and prepared for the
P and/or eTRAINING
Personal Fitness Training Programs, and that a licensed medical doctor has verified my physical condition
within the last six months.

I hereby assume full responsibility from any injury, including my death occurring while participating in, or as
a result of, my participating in the
P and/or eTRAINING Personal Fitness Training Programs, and hereby
release, waive, discharge and covenant not to sue Bob Pates, successors, representatives, employees,
assigns, or other participants in the
P and/or eTRAINING Personal Fitness Training Programs from any
and all liability to me, my personal representatives, heirs, successors, and assigns for any loss or damage
and claim or demands therefore on account of injury to me, including my death, whether caused by their
negligence or carelessness in advising me while participating in the
P and/or eTRAINING Personal Fitness
Training Programs.

You agree that this Agreement constitutes "a writing signed by You" under any applicable law or regulation.

_______________ ________________________________________
Date/Participant


_______________ ________________________________________      
Date/ Coach Bob Pates, Owner, Pates Running & Racing
Join Team PR² of Faster, Injury Free,
Confident Runners!
Team
PR²
Join Team PR² of Faster, Injury Free,
Confident Duathletes!
Team
PR²
Pates Running and Racing
TRAIN with CONFIDENCE, RUN INJURY FREE and RACE FASTER!
Online Premier Personal Fitness Training!
Look & Feel Great NAKED!
eTRAINING
P
Team
2019