Athlete Waiver & Payment

Welcome! Thank you for choosing assisted stretching services through QuickWorks Medical Exercise. These sessions are designed to help athletes improve flexibility, reduce muscle tightness, and support overall performance during training and competition. Each session is hands-on and tailored to the athlete's immediate needs, whether that's relieving tightness, preventing cramping, or improving mobility. To participate, a parent or guardian must complete the waiver below. This is a quick, one-time process to ensure safety and understanding of the service being provided.

Participant Waiver & Consent

I am the parent or legal guardian of the participating athlete.
My child is physically able to participate in assisted stretching and athletic activities.
I understand that assisted stretching involves hands-on techniques intended to improve flexibility, mobility, and muscle function.
I agree to inform the provider of any injuries, pain, or medical conditions prior to participation.

Athlete First name

Athlete Last name

Parent name (first and last)

Age

Phone

Do you currently have any injuries or areas of pain?

If yes, please explain (location, severity, how long):

Are you currently under the care of a physician, chiropractor, or physical therapist?

Yes

If yes, for what condition?

Assisted Stretching Waiver & Consent

I understand that assisted stretching involves hands-on techniques designed to improve flexibility, mobility, and muscle function.

I acknowledge that:

This service includes hands-on assistance to move the body through controlled ranges of motion.
I may experience mild discomfort or soreness during or after the session

I confirm that:

I am physically able to participate in assisted stretching
I will inform the practitioner of any injuries, medical conditions, or restrictions
I understand this service is not medical treatment, physical therapy, or a substitute for licensed care.

I voluntarily assume all risks and release QuickWorks Medical Exercise, LLC from any liability for injuries or damages that may occur during or after my session.

Minor Acknowledgement:

I understand the instructions given and will communicate if I feel pain or discomfort.

Parent/Guardian Consent:

I am the parent/legal guardian of the minor listed above and I consent to their participation. I have read and agree to all terms.

Today's Date

Signature

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Contact

QuickWorks Medical Exercise LLC

kquick@quickworksmedex.com

706-220-0518

QUICKWORKS MEDICAL EXERCISE

"Getting You Back To Function Quickly, Safely, and Stronger"

Athlete Waiver & Payment

Participant Waiver & Consent

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