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Legacy Sport & Wellness: A Center of Excellence
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What is ELDOA™ – Why You Should Be Doing ELDOA™
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Enroll in a Course
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Health History and Waiver
Date
MM slash DD slash YYYY
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Email
Age
Sex
Weight
Ideal Weight
Emergency Contact
Surgery(ies)
Date
Description
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Supplements/Medications
Name/Brand
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Pain
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Waiver, Release of Liability & Indemnity Agreement
(Required)
I agree to the terms.
I, the undersigned, acknowledge the inherent risks involved when participating in any wellness program and/or using any type of fitness equipment in the Legacy Sport & Wellness Center, and in all other sports and training sessions relating therein. Accordingly, as consideration in exchange for being allowed to participate in activities at Legacy Sport &
Wellness Center, I agree to the following:
1. I acknowledge and fully understand that I will be engaging in activities that involve risk of serious injury, which may include permanent disability and even death, and severe social and economic losses which might result not only from my actions, but also from the action, inaction, or negligence of others, the rules of play, or the condition of the premises, or any equipment used, and further that there may be risks not known to me or not reasonably foreseeable. I expressly assume all risks of injury, including death, which may occur in connection with my participation in activities at Legacy Sport & Wellness Center.
2. I agree that prior to participating in any activity at Legacy Sport & Wellness Center, I will inspect all equipment to be used, and if, through my inspection, I determine that anything related to that activity is unsafe, I will immediately advise the staff of Legacy Sport & Wellness Center of this unsafe condition and will not participate until this condition is corrected.
3. I agree to assume all the foregoing risks and accept full responsibility for my own damages following such injury, permanent disability, or death.
4. I release, waive, discharge, and agree not to sue Legacy Sport & Wellness Center, its parent company and any subsidiaries and all its respective agents, affiliates, associates, officers, directors, owners and employees ( collectively "Releasees") from demands, losses, or damages on account of any bodily injury, death or property damage caused or alleged to be caused in whole or in part by Releasees or any other party's actions, inactions, or otherwise. I also agree to indemnify Releasees from any and all third party claims caused in whole or in part by my actions.
5. I consent to emergency medical care and transportation in order to obtain treatment in the event of injury to me as Legacy Sport & Wellness Center may deem appropriate. This Release extends to any liability arising out of or in any way connected with the medical treatment and transportation provided in the event of an emergency.
6. I expressly agree that the terms of releases and indemnity contained herein are intended to be as broad and inclusive as is permitted by the laws of the State of Texas. Any provision or portion of this Waiver, Release, and Indemnity Agreement found to be invalid by the courts having jurisdiction shall be invalid only with respect to such provision or portion. The offending provision or portion shall be construed to the maximum extent possible to confer upon the parties the benefits intended thereby. Said provision or portion, as well as the remaining provisions or portion hereof, shall be construed and enforced to the same effect as if such offending provision or portion thereof had not been contained herein.
I have read the above Waiver, Release, and Indemnity Agreement and understand that by signing below, I have given up substantial rights.
Δ
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About
Legacy Sport & Wellness: A Center of Excellence
Plan a Trip to Legacy
Contact Us
Testimonials
Who is Guy VOYER, DO and the History of ELDOA
Wellness Exercise Center
How to Begin
Legacy’s Approach to Exercise
Exercise/Home Program
Group Exercise Classes
Legacy Calendar
What is ELDOA™?
What is Myofascial Stretching?
Lifestyle/Recovery Center
ELDOA-SOMA Education
The Legacy Institute
SomaTraining Texas
SomaTherapy Texas
The ELDOA™ Comprehensive Certification Program
Scott’s Teaching Schedule
Practitioner Education
Client Education
Guy VOYER, DO Teaching Schedue
All Things ELDOA™
What is ELDOA™ – Why You Should Be Doing ELDOA™
Calendar of ELDOA™ Certification Courses
Six-Level ELDOA™ Certification Program
Enroll in a Course
Find an ELDOA Practitioner
ELDOA™ Certification Course Instructors
ELDOA™ & the Stanley Cup
Sports Performance – Athletes
How to Begin
Sports Performance Program
Consulting/Sports Camps With Legacy
Lifestyle/Recovery Center
Soma – ELDOA™ & the Stanley Cup
Legacy News
eShop
Shop
Make a Registration
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