|Thank you for choosing to use the facilities, services or programs of ROBERTO LAGANA. also known as Coach Rob, We request your understanding and co-operation in maintaining both your and our safety and health by reading and signing the following INFORMED CONSENT AGREEMENT.|
|I,||(the “client”) declare that I intend to use some or all of the activities, facilities,|
|Programs and services (“Activities”) offered by ROBERTO LAGANA. I understand and acknowledge that part of the risk involved is relative to my own state of fitness or health (physical, mental or emotional) and the awareness, care and skill with which I conduct myself. I acknowledge that my choice to participate at ROBERTO LAGANA brings with it an assumption by me of those risks or results stemming from this (these) choice(s) and the fitness, health, awareness, care and skill that I possess and use.|
I am aware and acknowledge that all activities offered are educational, recreational or self-directed in nature. I assume full responsibility during and after my participation for my choice(s) to use or apply, at my own risk, any portion of the information or instruction I receive and any equipment I use. In addition, I understand that I am free to reduce, modify or completely withdraw from my involvement in activities and I acknowledge and realize that I should do so upon recognition of any signs of transient light headedness, fainting, chest discomfort, leg cramps, nausea, etc.
I accept the fact that the skills and competencies of employees and/or volunteers will vary according to their training and experience and that no claim is made to offer assessment or treatment of any mental or physical disease or condition by those who are not duly licensed, certified or registered and employed to provide such professional service. In addition, I acknowledge that I have inquired about the nature of activities that I am not completely familiar with and I have been informed of any inherent risks.
I further understand that ROBERTO LAGANA will collect health and other personal information from me with the intent to fulfill their obligation to me. I agree with ROBERTO LAGANA’ practice of keeping my personal information confidential and subject only to legal requirements to disclose or legal exceptions (emergency). I accept that ROBERTO LAGANA will use this information to improve the services that I receive. I also appreciate that ROBERTO LAGANA will not disclose, divulge or otherwise communicate to any person or business any such confidential information without my written consent to do so.
It is the sole responsibility of the client to seek advice from his/her physician as to whether or not the client is in good enough physical health to use the services and equipment provided by ROBERTO LAGANA.
The Client agrees to keep and comply with all the rules and policies now in force or as they may be established in the future by ROBERTO LAGANA. ROBERTO LAGANAshall have the right to revoke the membership of any Client who fails to keep and obey all such rules and policies, without recourse or refund to the client of any monies paid to ROBERTO LAGANAfor unused services. The hours of operation of ROBERTO LAGANAare subject to change from time to time at the sole discretion of ROBERTO LAGANA. The client recognizes and holds harmless ROBERTO LAGANAin the event that, with or without reasonable notice, part or all of its services or facilities may need to be closed temporarily for scheduled or unscheduled maintenance or for repair in the event of damage by fire or other unforeseen causes.
The client agrees to register his/her name at the front desk each and every time s/he wishes to use the facilities or services of ROBERTO LAGANA. The client expressly agrees that ROBERTO LAGANAor its nominees shall not be liable for any damages arising from personal injuries sustained by the Client or his/her guests while in the facility and/or using the equipment and services of ROBERTO LAGANA, nor will ROBERTO LAGANAor its nominees assume any liability for loss or damage to the Client’s personal property while on the premises.
The undersigned client hereby agrees and promises to pay to ROBERTO LAGANAthe amounts specified in the listed rates at the time of joining.
Children under the age of 14 must be accompanied by an adult and that adult will be responsible for the child’s welfare and conduct.
ALL SALES ARE FINAL. NO REFUNDS. It is highly advised you consult with your doctor before starting any exercise and/or nutrition plan.
The Client includes any person being trained by ROBERTO LAGANA as well as anyone paying for such training and having legal responsibility for the Client being trained, such as a parent, guardian, or organization. In accordance with this agreement, ROBERTO LAGANA agrees to provide training access to the Client and the Client agrees to pay for this access.
The Client fully understands that a training session with ROBERTO LAGANA may involve physical and bodily contact uncommon in other physical fitness activities. Also, these exercises may result in tissue damage, muscle soreness and death.
The Client declares that he or she voluntarily understands to do the exercises judged by the ROBERTO LAGANA personal training staff to be suitable for his or her training session and assumes all risks involved. In the event of training injury or death, the Client, and his or her heirs, and assigns, shall waive all claims against ROBERTO LAGANA, its employees and agents, officials, servants and representatives, and release ROBERTO LAGANA, its employees and agents, officials, servants and representatives, from any liability, of any kind now and forever.
The Client declares that he or she knows of no present or existing condition that could lead to injury or death resulting from personal training services provided by ROBERTO LAGANA. In the event of such a condition, the Client agrees to waive on the basis of it, and to defend ROBERTO LAGANA against such claims by third parties.
ROBERTO LAGANA reserves the right to terminate a client who has shown disrespect or other conduct perceived harmful to ROBERTO LAGANA‘ commitment to success:
ROBERTO LAGANA guarantees that any client taking personal training will reach the ideal bodyfat range based on their age and sex according to the charts. This applies to clients that take two or more sessions a week for a period of one year or more. Any client that does not reach this goal will get 100% of their money back if they have followed the following stipulations; the client must not have missed more than 3 sessions in a period of one year and the client must journal all nutrition and cardio each day and follow exactly what their personal trainer recommended. For sessions missed, rescheduled sessions are allowed (ie. If on vacation one week the client can fit in the sessions that were supposed to be taken that week someplace else but they must be taken).
Rules for Personal Training
Arrive 5 minutes prior to your scheduled session in order to be properly warmed up for the session. If you arrive late for any reason, your session will finish at the originally scheduled completion time.
You agree that if your health is in question at any time during a training session; you will immediately stop the activity and inform your personal trainer, or ROBERTO LAGANA.
You agree to inform your personal trainer of any conditions or changes in your health at any time while participating in the program, which might affect your ability to exercise safely and to minimize the risk of injury.
You are under no obligation to perform or participate in any activity unless you wish to, and have the right at all times to decline participation in a training session.
You agree to provide at least twenty-four hours notice to ROBERTO LAGANA if you wish to cancel or reschedule a scheduled session. If an appointment is cancelled with less than twenty-four hours notice you will be charged for that training session. All cancellations must be done by phone or email.
ROBERTO LAGANA may, if it feels necessary, cancel your “Personal Training” sessions if it feels that there is a lack of commitment to the program or a failure to comply with the terms of this agreement. If ROBERTO LAGANA chooses to cancel the client’s personal training program, ROBERTO LAGANA will refund the remainder of any sessions remaining that have not been taken.
The information provided by Roberto Lagana, our trainers and counselors are for information purposes only, and are not intended to provide medical advice to individuals. Consult with your physician if you have any health concerns, and before initiating any new diet, exercise, supplement, or other lifestyle changes.
I have carefully read this agreement. I understand the terms and conditions and agree and I will be bound by them.
| DISCLAIMER AND WAIVER|
I agree to assume all risks involved in participation in the activities. Roberto Lagana, also known as Coach Rob, or their directors, officers, servants and agents are not responsible for any loss, damage or injury for any reason whatsoever suffered by me or any other person either before, during or after participation in activities, at the Roberto Lagana fitness studio center. I do hereby agree for myself, my spouse, heirs, executors, administrators and assigns, to release and forever discharge Roberto Lagana or their directors, officers, servants or agents of any and all claims, demands, damages, costs, expenses, actions or causes of action where in law or equity in respect of death, injury, loss or damage to person or property however caused, including but not limited to negligence arising or to arise out of my participation in such activities and programs. I also agree to all Roberto Lagana policies and will respect them at all times. All sales are final. No refunds.
I declare that I have read, understood and that I agree to the content of the DISCLAIMER AND WAIVER In its entirety.
(parent/guardian if under 18 years of age) Date:
Rob Lagana is a former top male competitive bodybuilder who has achieved numerous athletic accomplishments during his career.
Perhaps the greatest learning experience that Rob Lagana has met, was living with ocular albinism. Several vision problems have occurred
with ocular albinism and has left him legally blind. He really learned how to harness the deep energy it takes to be body / movement aware and through this energy has developed a healing ability which he then learned to use in practice with a Japanese healing system called Usui Reiki.Rob overcomes daily tasks and practices to complete his goals
through determination, hard work and a positive mindset.
Rob Lagana also received his IFBB Nutrition certificate, S.M.A.R.T certificate from Dave Palumbo, and LSF Life Solutions Foundation Whole Food Nutrition certificate. Rob Lagana also have 2 decades of experience in coaching clients for weight loss, wellness and contest prep.. He is certified through NASM (National Academy of Sports Medicine).Rob is also Poliquin Group Bio Signature Level 1 and 2 practitioner and overall brings a holistic approach to helping clients reach their goals.
Besides his athletic and coaching experience, he is also a Reiki Master practitioner.Stress is the number one cause of inflammation of the body. This disrupts, cortisol, insulin, brain chemicals and
much more..Reiki has been a natural and effective way of reducing stress, which promotes overall healing in the body.