Participation Waiver and Informed Consent

What You Are Participating In:

I understand that I am voluntarily participating in a complimentary movement screen conducted by a licensed physical therapist affiliated with Formation PT & Performance. This screen may include:

• Observation of posture and movement patterns

• Basic range of motion and mobility assessment

• Light hands-on assessment at the clinician's discretion

This screen is informational in nature. It is not a physical therapy evaluation, a medical diagnosis, or treatment of any kind. No provider-patient relationship is established through participation. Any information provided during the screen is general and educational and should not replace the guidance of a licensed healthcare provider.

Section 2: Health Disclosure and Assumption of Risk

I confirm that I am voluntarily choosing to participate in this screen. I agree to inform the clinician of any known medical conditions, recent surgeries, acute injuries, current medications that affect physical activity, or any other health concerns before the screen begins.

I understand that all physical activity, including a movement screen, carries some inherent risk. I voluntarily assume any and all risks associated with participation, including but not limited to physical discomfort or injury.

Section 3: Release of Liability

To the fullest extent permitted by applicable law, I hereby release, waive, discharge, and hold harmless Formation PT & Performance, its owners, clinicians, employees, contractors, and representatives from any and all claims, demands, damages, costs, or causes of action of any kind arising out of or related to my voluntary participation in this complimentary movement screen, including claims arising from the negligence of Formation PT & Performance or its staff.

I understand this is a release of legal rights and I am signing it voluntarily.

Section 4: Photo and Media

Formation PT & Performance may photograph or record the event environment for general marketing or educational purposes. I understand that my screen itself will not be recorded without my separate, explicit consent.

If you have concerns about photography at the event, please let the clinician know at the time of your screen.

Section 5: Email Follow-Up

I agree to receive follow-up emails from Formation PT & Performance related to my screen and general physical therapy and performance education. I understand I may unsubscribe at any time and that my information will not be shared with third parties.