Waiver Name * First Name Last Name Phone * Country (###) ### #### Email * Are you interested in a free 15-minute phone consultation? * Yes No Maybe Waiver Terms & Conditions Our staff is performing a workshop for your education. Following the workshop, we may provide each athlete with a few simple exercises and/or stretches to work on at home to reduce the risk of injury to enhance performance, strength and stability. The purpose of this workshop is not to diagnose or treat, while the screen will be performed by trained professionals, participation in the workshop carries with it a risk of injury that cannot be eliminated regardless of the care taking to avoid such injuries and the undersigned individual shall assume all risk by participating in the workshop. By submitting information electronically above and checking the box below, and in consideration of the aforementioned workshop, I authorize the clinic and it’s associated health professionals to collect and publish photos and/or videos of this event. These photos/videos would be used for promotional and informational marketing material. I do always and forever release any and all rights and claims for all damages and liabilities of any kind arising out of my participation in this workshop, against all persons, entities, and agencies involved with performing the workshop, including but not limited to: the hosting entity, Core Kinetics Physical Therapy & Performance, and any other related individuals or entities. I understand that this workshop is not intended to diagnose or treat any injuries, but to assist with optimizing movement for the athletes. I do understand that my participation in this workshop is not a guarantee of injury prevention or performance. The results will not be shared with any individuals or entities except as outlined here and it will only be used for informational purposes including tracking of injuries and/or trends. I also agree to be contacted by Core Kinetics Physical Therapy & Performance in the future. We will not share your personal information here onto per Core Kinetics Physical Therapy & Performance privacy policy. I’ve carefully read this waiver of liability and I understand that I am giving up legal rights, including my right to sue. I acknowledge that I am signing the waiver freely and voluntarily and intent by my signature to be a complete and unconditional release of all liability to the extent allowed by law. By clicking submit below, you consent to allow Core Kinetics Physical Therapy & Performance to store and process the personal information submitted above to provide you the content requested. I agree to the above terms. I agree to receive other communications from Core Kinetics Physical Therapy & Performance.* I do not agree to the above terms. I agree to receive other communications from Core Kinetics Physical Therapy & Performance.* You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting you, please review our Privacy Policy.