Joel Aumakua
Stretch Therapy & Mobility Training
Informed Consent, Waiver & Release of Liability
Client Information
Emergency Contact
Health & Medical Disclosure
Please list any current or past medical conditions, injuries, surgeries, or physical limitations that may affect your ability to participate in stretch therapy or mobility training:
Are you currently under a physician's care for any condition?
☐ Yes☐ NoAcknowledgments & Agreements
Please initial each statement to indicate your understanding and agreement:
Understanding of Services: I understand that Joel Aumakua provides stretch therapy and mobility training services and is NOT a licensed medical professional, physical therapist, chiropractor, or massage therapist.
Medical Clearance: I confirm that I have consulted with a qualified healthcare provider before beginning these services, especially if I have any pre-existing medical conditions.
Assumption of Risk: I understand that stretch therapy and mobility training involve physical activity and carry inherent risks including, but not limited to: muscle soreness, strains, sprains, bruising, joint discomfort, or exacerbation of existing conditions.
Voluntary Participation: I am voluntarily participating in these services with full knowledge of the risks involved. I assume full responsibility for any injuries or damages that may occur.
Communication: I agree to immediately inform Joel Aumakua of any pain, discomfort, or unusual symptoms during or after sessions. I understand I may stop any session at any time.
No Guarantee: I understand that results vary and no specific outcomes are guaranteed. Benefits depend on individual factors including consistency, effort, and adherence to recommendations.
Move Well Days / Group Events
If applicable, please initial:
Group Setting Risks: I understand that group events present additional risks including shared equipment, varying skill levels among participants, and reduced individual supervision.
Third-Party Venues: I acknowledge that Move Well Days may take place at third-party venues and that Joel Aumakua is not responsible for conditions or hazards at these locations.
Release of Liability & Indemnification
I, the undersigned, hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Joel Aumakua, his agents, employees, representatives, successors, and assigns (collectively "Released Parties") from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in stretch therapy, mobility training, Move Well Days, or any related activities.
I agree to INDEMNIFY AND HOLD HARMLESS the Released Parties from any loss, liability, damage, or costs, including attorney's fees, that they may incur arising from or related to my participation in these services, whether caused by negligence of the Released Parties or otherwise.
I HAVE READ THIS RELEASE AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT. I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Photo & Video Release
I grant permission for photographs or videos taken during sessions to be used for marketing purposes:
Cancellation Policy Acknowledgment
I understand that cancellations require at least 24 hours notice. Late cancellations or no-shows may be subject to the full session fee.
Signature
By signing below, I acknowledge that I have read, understand, and agree to all terms and conditions stated in this document. I confirm that all information provided is accurate and complete.
Client Signature
Date
Printed Name
FOR MINORS (Under 18 years of age):
I am the parent or legal guardian of the above-named minor and I hereby grant permission for their participation and agree to all terms on their behalf.
Parent/Guardian Signature
Date
Joel Aumakua
Stretch Therapy & Mobility Training
Tampa Bay Area, Florida
This waiver is governed by the laws of the State of Florida.