New Client Waiver

ACKNOWLEDGEMENT AGREEMENT

By checking the boxes Below, I acknowledge and agree to the following terms and conditions for nutrition coaching

services provided by Alex Klintworth and Karli Klintworth (collectively "Hi Energy," "Coaches," or "we"):

I understand that Alex Klintworth is a Certified Nutrition Coach (PN1-NC) and that Karli Klintworth works alongside him in providing nutrition coaching services. The services provided are for educational and coaching

purposes only. The Coaches are not licensed physicians, registered dietitians, or licensed healthcare providers, and do not provide medical diagnosis, treatment, or therapy.

I understand that all information, recommendations, and guidance provided by Hi Energy, including but not limited to nutritional advice, meal plans, supplement suggestions, lifestyle recommendations, and educational materials, are not intended to be a substitute for professional medical advice, diagnosis, or treatment.

I acknowledge that I should consult with a qualified healthcare provider before making any changes to my diet, lifestyle, or supplement regimen, especially if I have existing health conditions, am taking medications, or am pregnant or nursing.

I understand that the Coaches may provide recommendations and guidance regarding food choices, dietary patterns, and nutritional supplements. I acknowledge that all decisions regarding what I choose to consume, including any foods or supplements recommended or discussed during coaching sessions, are entirely at my own discretion and responsibility.

I understand that the Coaches cannot and do not guarantee any specific

health outcomes from following their recommendations.

I agree that I am solely responsible for:

• Consulting with my personal healthcare provider(s) before implementing any nutritional or lifestyle changes.

• Monitoring my own health and well-being throughout the coaching process.

• Informing the Coaches of any adverse reactions, health changes, or concerns that arise.

• Disclosing all relevant health conditions, medications, allergies, and other pertinent information.

• Making my own informed decisions about my health and nutrition.

I understand that individual results vary and that the Coaches make no guarantees, warranties, or promises regarding weight loss, health improvements, disease prevention, or any other specific outcomes. I acknowledge that my success depends on many factors including my own effort, commitment, genetics, and individual circumstances.

I hereby release, waive, and forever discharge Alex Klintworth, Karli Klintworth, and Hi Energy from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me while participating in nutrition coaching services, or while following any recommendations provided, whether caused by negligence or otherwise.

I acknowledge that I am voluntarily participating in nutrition coaching services with knowledge of the potential risks involved. I expressly assume all risks associated with implementing dietary changes, consuming recommended foods or supplements, and engaging in lifestyle modifications.

I understand that all information shared during coaching sessions will be kept confidential, except as required by law or with my explicit written consent.

I understand that either party may terminate the coaching relationship at any time. Refund policies, if

applicable, are outlined in separate service agreements.

I confirm that I have read this waiver in its entirety, understand its contents, and have had the opportunity to ask questions. I am signing this agreement freely and voluntarily.

CLIENT SIGNATURE

I have read, understood, and agree to the above terms and conditions.

GUARDIAN SIGNATURES

Required for clients under 18 years of age.

FOR OFFICE USE ONLY

Hi Energy Signature:

This waiver shall be governed by and construed in accordance with the laws of the State of Arizona.