Required before training

Liability Waiver & Release

All athletes must complete and sign this waiver before starting any program with Urvil Performance. Athletes under 18 also require parent or legal guardian signature.

Important disclosure

Urvil Patel is a Doctor of Physical Therapy student and is not a licensed physical therapist. Services provided through Urvil Performance are strength & conditioning and athletic performance coaching only. They are not physical therapy, medical care, diagnosis, or treatment of any injury or condition.

If you have an injury, pain, or medical condition, consult your physician or a licensed physical therapist before starting any program.

Athlete information

Full legal name

Date of birth

Phone

Address

Emergency contact name

Emergency contact phone

Health & injury history

Medical conditions (heart, asthma, etc.) — type "none" if N/A

Current or past injuries — type "none" if N/A

Medications — type "none" if N/A

Acknowledgements I understand that Urvil Patel is a Doctor of Physical Therapy student and not a licensed physical therapist. Services provided are strength and conditioning coaching, not medical care or physical therapy. I understand that physical training carries an inherent risk of injury, including (but not limited to) muscle strains, sprains, fractures, joint injury, and in rare cases more serious injury. I voluntarily assume that risk. I release and hold harmless Urvil Performance LLC, Urvil Patel, and any affiliates from claims arising out of my participation in any program, except for gross negligence or willful misconduct, to the fullest extent permitted by law.

Athlete signature

Type your full name as signature

Date