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Please fill out the form below. Access to the sample program will be provided upon completion.

You will be redirected to the program immediately after submitting the form and will also receive it via the email you provide.

Acknowledgment of Risks:

I, the undersigned participant, acknowledge that I am voluntarily participating in the Home Exercise Program ("Program"), which may involve physical activity, including but not limited to strength training, stretching, and cardiovascular exercises. I understand that physical activity can be risky and may result in injury, including but not limited to muscle strain, joint injury, or other health complications.

I confirm that I am in good health, free of medical conditions that would prevent me from engaging in exercise, and have consulted with my doctor (or have waived this consultation) prior to starting the Program.


Waiver of Liability:

In consideration for my participation in the Program, I, for myself and my heirs, release and hold harmless Gabriel Marcogliese, its employees, agents, affiliates, and partners from any and all liability, claims, demands, or causes of action that may arise out of or in connection with my participation in the Program. I understand that I am participating in this Program at my own risk.


Indemnification Agreement:

I agree to indemnify and hold harmless Gabriel Marcogliese and its affiliates, employees, and agents from any and all claims, damages, losses, and expenses arising from my participation in the Program.


Consent to Use of Images and Videos:

I give permission for any images or videos taken during the Program to be used for marketing, promotional, or educational purposes, including on social media, websites, or other materials, without compensation.