Phone: (303) 432-2598 - Email: info@v3performancecenter.com

Athlete Application

Please fill out all the necessary fields as thoroughly as possible. Also, please keep in mind that any field listed with an * is required and needs to be filled out for the form to submit correctly to our trainers. Should you experience any trouble with this form, you have the option to download a PDF version by clicking the button below. After filling out the printed application, please mail the form to:

Patti Vandenberg
V3 Performance Center
14615 W 64th Street Suite I
Arvada, CO 80004

Download Athlete Application Form [PDF]









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Athlete Stats:










Health & Medical History:

Heart Disease Blood Pressure (high/low) Diabetes Asthma Arthritis Fatigue Neck Problems 





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Nutrition & Exercise

In the spaces below, please provide an overview of your current nutrition and exercise regimen. Please answer these questions honestly so that we may create a plan that is based on factual data. Your results well be a direct reflection of the accurate snapshot that you provide.




Releases

Please read the following carefully. By submitting your electronic signature at the end of this section, you agree to any and all terms and conditions as outlined in this document. With exception of the Model Release, acceptance of all terms and conditions is required to participate in any program offered by V3 Aesthetics LLC.

GENERAL RELEASE - I agree to allow V3 Aesthetics LLC to design a program for me to use as part of my competition preparation. I will not hold V3 Aesthetics LLC and/or any related persons or parties personally liable for injuries, illnesses or problems that might occur as a result of the program developed for me. This program does not replace the expert advice or medical treatment of a healthcare or medical professional. I affirm that I have provided V3 Aesthetics LLC with all necessary and pertinent information. I take full responsibility for any and all complications, injuries, illnesses or death that may occur as a result of this program. (If you accept, type initials below)*

MODEL RELEASE - Whereas for valuable consideration hereby acknowledged as received, the Model granted V3 Aesthetics LLC permission to photograph him/her and thereafter to use the photographs in whole or in part without restriction anywhere, in any medium, for any purpose and altered in any way. The Model releases V3 Aesthetics from all claims of liability relating to the use of the photographs. This permission and release shall be irrevocable and binding upon the Model's successors, legal representatives and assigns and shall accrue to the benefit of V3 Aesthetics LLC's successors, legal representatives and assigns. (If you accept, type your initials below)*

REFUND POLICY - By typing your initials below you acknowledge that there is no refund in whole or in part of the initiation fee once paid. (If you accept, type your initials below)*

CANCELLATION POLICY - We require a 30 day cancellation notice should you decide to quit services with V3 Aesthetics, LLC. you must submit your cancellation to our email address v3aesthetics@gmail.com. If your billing date falls within the 30 day period we will prorate your fees accordingly. (If you accept, type initials below)*

RELEASE AND HOLD HARMLESS AGREEMENT - I understand that my participation and/or involvement in V3 Aesthetics, LLC carries with it the potential for certain risks, some of which may not be reasonably foreseeable. I further acknowledge that these risks could cause me, or others around me, harm, including, but not limited to, bodily injury, damage to property, emotional distress, or death. I am a willing participant in any and all V3 Aesthetics LLC activities, events, programs. By signing this agreement, I agree to release, indemnify, and hold harmless V3 Aesthetics LLC, as well as all its employees, agents, representatives, successors, etc. from all losses, claims, theft, demands, liabilities, causes of action, or expenses, known or unknown, arising out of my participation in any and all V3 Aesthetics LLC activities, events, programs. (If you accept, type your name as you would sign it below. This is to be considered your E-SIGNATURE)*