AGREEMENT AND RELEASE OF LIABILITY
1. In consideration of being allowed to participate in the activities and fitness and meal planning programs of Face Forward Fitness and to use its various facilities, equipment and machinery in addition to the payment of any fee or charge, I do hereby waive, release and forever discharge Face Forward Fitness and its officer(s), agent(s), contractors, employees, representatives, executor, and all others from any and all responsibilities or liability from injuries and damages resulting from my participation in any activities, or my use of equipment or machinery in the above mentioned activities. I do also, hereby release all acting upon their behalf, from responsibility and liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf, or in any way arising out of or connected with my participation in any activities of Face Forward Fitness or the use of any equipment at the place of exercise.
(Please Initial _____)
2. I understand and am aware that strength, flexibility, and aerobic exercise, including the use of equipment, are potentially hazardous activities. I also understand that fitness activities involve a risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with the knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.
(Please initial _____)
3. I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation or use of equipment or machinery except as hereinafter stated. I do hereby acknowledge that I have been informed of the need for a physician’s approval for my participation in an exercise/fitness activity or in the use of exercise equipment and machinery. I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity, exercise, and use of exercise and training equipment so that I might have his/her recommendations concerning these fitness activities and equipment use. I acknowledge that I have either a physical examination and been given my physicians permission to participate, or that I have decided to participate in activity and use of equipment and machinery without the approval of my physician and do hereby assume all responsibility for my participation and activities, and utilization of equipment and machinery in my activities.
(Please initial _____)
Name __________________________________(print)
Signature Date
Signature of Parent or Guardian___________________Witness __________________________
(only if under the age of 19)
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WAIVER OF LIABILITY
“I, ____________________ (“CLIENT”), have enrolled in a program of strenuous physical activity including, but not limited to, aerobics, cardio programs,, weight training, stationary bicycling and the use of various aerobic-conditioning machinery offered through Face Forward Fitness. I hereby affirm that I am in good physical condition and do not suffer from any disability or illness that would prevent or limit my participation in this exercise program.” “In consideration of my participation in Face Forward Fitness exercise program, I, ____________________, for myself, my heirs and assigns, hereby release Face Forward Fitness (its employees, contractors, and owners), from any claims, demands and causes of action arising from my participation in the exercise program.” “I fully understand that I may injure myself as a result of my participation in Face Forward Fitness exercise program and I, ____________________, hereby release Face Forward Fitness from any liability now or in the future including, but not limited to, heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries, and any other illness, soreness, or injury, however caused, occurring during or after my participation in the exercise program.”
For and in consideration of the design of an exercise program for CLIENT by Face Forward Fitness (“TRAINER”), CLIENT agrees:
1.that any exercise program shall be undertaken by CLIENT as his/her sole risk; and
2.that TRAINER shall not be liable to CLIENT, nor any other person, for any claims or causes of actions whatsoever arising out of or connected with the services to TRAINER; and
3.that CLIENT hereby releases and discharges TRAINER from and such claims for actions.
Name __________________________________(print)
Signature Date
Signature of Parent or Guardian___________________Witness
__________________________
(only if under the age of 19)
