RELEASE OF LIABILITY FOR RECEIPT OF NUTRITION INFORMATION AND WAIVER OF CLAIMS ARISING FROM RECEIPT OF NUTRITION INFORMATION

Disclaimer

The nutrition information provided by Mile High Fitness and Wellness, Inc. is designed for and solely intended to be suggestions which may voluntarily be implemented into the diet of the person who submits their consent below. Use of any nutrition information provided is completely voluntary and each user  is solely responsible for their voluntary choice to implement the dietary suggestions. It is the sole responsibility of the Client to provide complete and accurate information. Any misinformation or omitted information provided by the Client may affect the nutritional assessment or advice. Any misrepresented information is solely the Client’s responsibility and Mile High Fitness and Wellness, Inc. and its contractors, employees, representatives, heirs or agents will not be liable.

Mile High Fitness and Wellness, Inc. provides nutrition consulting and recommendations only and is not licensed to diagnose a medical condition or illness. The Client must consult a physician for any medical advice.

Waiver and Covenant Not to Sue

I have volunteered to participate in nutrition coaching with Mile High Fitness and Wellness, Inc. and  under the direction of Mile High Fitness and Wellness, Inc., which will include, but may not be limited to nutritional planning. In consideration of  Mile High Fitness and Wellness, Inc.’s agreement to assist me, I do here and forever release and discharge and hereby hold harmless Mile High Fitness and Wellness, Inc., its respective agents, heirs, assigns, contractors, and employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in any nutrition coaching including any injuries resulting there from.

Assumption of Risk

Mile High Fitness and Wellness, Inc. recommends you consult your physician before undertaking any diet or exercise program.

By implementing the suggestions provided by Mile High Fitness and Wellness, Inc., the Client is affirming that she or he has consulted with a medical doctor and has been cleared to implement the suggestions.

Any nutrition information provided is not intended to diagnose, treat, cure or prevent any type of disease or condition. If you need specialized dietary planning to treat, cure, or prevent any type of disease or condition, you should consult with your medical doctor.

If I am pregnant or lactating, have high cholesterol, high blood pressure, high blood sugar, diabetes, renal disease, have had gastric bypass surgery, or currently have (or have had in the past) any other medical condition that requires special dietary restrictions, I must receive permission from my physician before participating in any significant nutrition or exercise changes, or may be advised to seek help from another health professional.

I recognize that specific foods may create allergic and possible fatal reactions. I will therefore communicate any food allergies/sensitivities I am aware of to Mile High Fitness and Wellness, Inc. I am aware that specific foods may interact with certain medications. I will therefore specify all prescription and OTC medications and have discussed the side effects of all of my medications with my doctor or pharmacist.

I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this nutrition coaching program. I understand that results are individual and may vary.

Confidentiality Agreement:

Mile High Fitness and Wellness, Inc. will keep the client’s information private and will not disclose health and nutrition related information. Mile High Fitness and Wellness, Inc will not share the client’s health and nutrition related information with any other parties unless compelled to do so by law or with the consent of the client.

Acknowledgement of Understanding:

I have read this waiver of liability, assumption of risk, and indemnity agreement and fully understand its terms, and I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.