Fill out the registration form and submit to enter your payment details and access your new Well-Being membership.
By consenting you have voluntarily decided to participate in Well-Being: A Tribe Planted with Purpose, a 12-week wellness transformation program, including a fitness program, offered by Dr. Allison Hull and Well-Being: A Tribe Planted With Purpose, LLC through Florida Medical Clinic, collectively called the “Providers.” I hereby assert that my participation is completely voluntary, and I knowingly assume all risks of participation. I have been advised that an examination by a physician should be obtained by anyone prior to commencing this program or initiating a substantial change in the amount of regular physical activity performed. I am aware that the nutritional education and meal planning will result in a significant change to my current diet. This change in my diet may reduce both my blood pressure and blood glucose levels, therefore, reducing the need of certain medications if I have high blood pressure and/or diabetes. If I currently have high blood pressure and /or diabetes, I am aware close follow up with my primary care physician and/or endocrinologist will be needed. If I have chosen not to obtain a physician’s consent prior to beginning this program, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in exercises that are appropriate for the current status of my health. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor if this activity is appropriate before I participate in such activity. I understand that this program is not medically supervised, and exercise activities are led by independent fitness instructors or other program participants who may or may not be employees or agents of the Providers. I agree not to hold the Providers or any of their instructors responsible for any injury or complication as a result of the program. In the event of injury, accident and/or illness, regardless of the cause, during this activity or event I consent to receive medical treatment, but I acknowledge that the Providers and their instructors will not be responsible for that medical treatment. I knowingly assume all risks of participation. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I understand that the Providers may, in their sole discretion and at any time, revoke my enrollment in the Program. I understand that any exercise or fitness activity involves a risk of injury, as well as abnormal changes in blood pressure, fainting, and a remote risk of heart attack, stroke, other serious disability or death. I understand the dietary changes may result in changes in blood pressure, blood glucose levels, hydration, and electrolyte requirements. I am accepting such risks and volunteering to participate with full understanding of the dangers involved. In consideration of my participation in this program, I hereby waive and release the Providers and their instructors, and their successors and assigns, from any and all claims, costs, liability and expense for any injury, loss or damage whether known, anticipated or unanticipated arising from my voluntary participation and enrollment. I acknowledge, by registering for the site, acknowledging the consent for this waiver withing the registration form and by creating and using my online account, that I have thoroughly read this form in its entirety and fully understand it. I understand that it contains a release of liability. By signing this document, I am waiving certain rights I or my successors might have to bring a legal action or assert a claim against the Providers and their instructors. I understand there are no refunds for this program. Pregnant or Type 1 Diabetic- ONLY permissible to participate in the low carb track.