Prescribing strength, not meds, for your pain!

Liability Waiver Form

Our staff will be providing soft-tissue massage and stretching services at Midland Country Club where any athlete who wishes to participate. The purpose of these services is not to diagnose or treat, While the screen will be performed by trained individuals, participation in this workshop carries with it a risk of injury that cannot be eliminated regardless of the care taken to avoid such injuries and the undersigned individual shall assume all risk by participating in the workshop.


By signing below, and in consideration for the aforementioned workshop, I do waive and forever release any and all rights and claims for any damages and liabilities of any kind arising out of my participation in this workshop, against all persons, entities, and agencies involved with performing the workshops, including but not limited to: Midland Country Club, Strength Rx Physical Therapy, and any other related individuals or entities. I understand that this workshop is not intended to diagnose or treat any injuries, but to assist with optimizing movement for the athlete. I also understand that my participation in this workshop is not a guarantee of injury prevention or performance. The results will not be shared with any individuals or entities except as outlined herein and will only be used for informational purposes including tracking of injuries and/or trends. I also agree to being contacted by Strength Rx Physical Therapy in the future. We will not share your personal information here onto per Strength Rx Physical Therapy’s Privacy Policy. I have carefully read this waiver of liability and understand that I am giving up legal rights, including my right to sue. I acknowledge that I am signing this waiver freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the extent allowed by law.


By typing my name below I am electronically signing this Liability Waiver form. My signature indicates I agree with and understand everything discussed in this waiver form.