Waiver & Consent
Facility Use Waiver for Clients of External Trainers
1. Purpose of This Agreement
This waiver applies to individuals (“Participant”) who are using the facilities, equipment, or space owned or operated by Polygon Health Corp. under the supervision of an external trainer, coach, or practitioner who is not employed by or contracted with Polygon Health Corp.
Polygon Health Corp. is providing facility access only and is not providing clinical assessment, treatment, supervision, or exercise programming as part of this visit.
2. Acknowledgment of External Trainer Relationship
I understand and agree that:
My trainer is an independent provider and is solely responsible for my training, supervision, and safety during all activities.
Polygon Health Corp. does not oversee, endorse, or assume responsibility for the actions, instructions, or services provided by my trainer.
Any questions or concerns regarding my training must be directed to my trainer, not Polygon Health Corp.
3. Assumption of Risk
I acknowledge that participating in physical activity, exercise, and training involves inherent risks, including but not limited to:
Muscle soreness or fatigue
Sprains, strains, or joint injuries
Falls or equipment‑related injuries
Aggravation of existing medical conditions
Serious injury in rare circumstances
I voluntarily choose to participate and fully assume all risks, both known and unknown, associated with using the facility and engaging in training activities.
4. Facility Use Responsibilities
I agree to:
Follow all safety instructions provided by my trainer and Polygon Health Corp. staff
Use equipment only as intended and only when I understand proper use
Report any hazards, equipment issues, or injuries immediately
Refrain from using equipment without appropriate instruction or supervision
Polygon Health Corp. reserves the right to revoke facility access at any time if safety concerns arise.
5. Release of Liability
In consideration for being permitted to use the facility, I hereby release, waive, and discharge Polygon Health Corp., its owners, directors, employees, and contractors from any and all liability, claims, demands, or causes of action arising from:
My participation in training or exercise activities
My use of the facility, equipment, or space
The actions, omissions, or negligence of my external trainer
Any injury, loss, or damage I may sustain while on the premises
This release applies to all future visits unless revoked in writing and is intended to be as broad and inclusive as permitted by law.
6. No Clinical Services Provided
I understand that:
Polygon Health Corp. is not providing physiotherapy, kinesiology, medical assessment, or clinical advice as part of this visit
No diagnosis, treatment, or rehabilitation services are being offered
If I require clinical care, I must book separately with a licensed practitioner
7. Consent for Information Storage
I consent to Polygon Health Corp. collecting and securely storing my basic contact information for the limited purposes of:
Facility access
Administrative documentation
Safety and record‑keeping
I understand that my information will not be shared without my consent unless required by law.
8. Acknowledgment & Signature
By completing the form below, I confirm that:
I have read and understood this Facility Use Waiver
I understand that my trainer is independent from Polygon Health Corp.
I voluntarily accept all risks associated with facility use
I agree to the terms outlined above