1. Appointments - Select Service

Personal Training with Jill

Personal Training Sessions with Jill

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Free No Sweat Intro

20 Minute Informational Session for Fitness and/or Health Coaching.  If you are not a current Gym Member than choose this appointment option.

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Personal Training with Ashley, Michelle or Derrick

60 Minute Personal Training Session with Ashley Haass, Michelle Wright, or Derrick Lail
$45 Total Change.
$15 charged at time to scheduling.  Remaining $30 due (cash or check only) at time of appointment.
 If you cancel within 24 hours of appointment time we will keep $15 fee.

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Health Coaching Follow-up with Ashley or Derrick

Follow-up appointment for current health coaching clients

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Health Coaching Initial Consultation with Ashley or Derrick- Current Gym members

Current Gym Members Only. First Appointment for New Health Coaching Clients- 75 Minutes

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2. Your Information

Your Information

RevFive5 Fitness Liability Waiver (6492)
Photography/Video Release
Participants involved in any activities offered by RevFive5 may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the RevFive5 website or in any editorial, promotional or advertising material produced and/or published by RevFive5.

Waiver and Release of Liability
Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at, or under direction of RevFive5.
I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.
Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered by RevFive5, I, the undersigned hereby release RevFive5, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
If I am signing on behalf of a minor child, I also give full permission for any person connected with RevFive5 to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.
Indemnification: The participant recognizes that there is risk involved in the types of activities offered by RevFive5. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless RevFive5, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by RevFive5, at the main building or abroad. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training by RevFive5.

The following guidelines apply to Health/Nutrition Coaching services. Please review carefully and, if any questions, discuss them with your nutrition coach.
Cancellations: I understand that the health/nutrition coach operates on a scheduled appointment basis for all session and thus, requires a 24-hour notice when canceling/rescheduling an appointment. No charge shall be applied if should I cancel/reschedule with MORE than 24 hours notice given. Should I cancel within the 24-hour notice window, I will be charged the cost of my session, and will purchase an additional session shall I wish to reschedule.
Promptness: It is important to arrive on time for a scheduled appointment. The client should understand that the health coach might have another appointment immediately following his/her session, and therefore tardiness may result in the normal length of the session being reduced.
Refunds: There will be no refunds for health/nutrition counseling session, follow-ups, challenges or personal training sessions.
Expiration: Health/Nutrition packages will renew automatically until canceled.
Photo Release: I hereby authorize RevFive5 to copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video images.
Waiver and Release: 
You (the buyer/client) agree that you hereby waive any claims or rights that you might otherwise have to sue RevFive5, it's owners, independent contractors, and its employees if injury/harm to you that may result from participation in our health/nutrition, programs or personal training sessions.
You understand that you should consult your physician if you have any medical issues. You acknowledge nutrition services are not to be in place of any medications.
You acknowledge that you have carefully read this waiver and release and fully understand that it is a release of liability. You are waiving any right that you have to bring legal action to assert a claim against  RevFive5 Fitness.

I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

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Existing Member - Sign Into Account

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3. Confirmation & Payment

Selected Appointment(s) - Confirmation
Date Time Fee Tax Total

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