Failure to sign will preclude a Secondary Member from any activity or event at the Wellness Center. %PDF-1.7 <> Waiver, Release, and Assumption of Risk Form I, _____, have volunteered to participate in a fitness program provided to me by Diane Simmons (“Trainer”), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. ASSUMPTIONOF*RISK,*WAIVERAND*RELEASE*OF*LIABILITY,*AND* INDEMNITYAGREEMENT** DECLARATIONS:!This!Agreement!is!entered!into!between!personal!trainer! User’s Representations, Express Assumption of All Risks, and Release of Liability Agreement . stream Client certifies that he/she is of adequate physical condition to participate in physical exercise. / Assumption of Risk Form prior to participating in Unmanned Fitness Access. %���� 3 0 obj Initials ____ 2. exercise, class, or activity. Assumption of Risk: I understand that the Activities1 in which I (or my child) will engage in cooperation with the U.S. National Whitewater Center2 (the Center) involve inherent and other risks. �j���N�����7Id~�_'�qɅ�n^��As��\XF����M6 i�8��F����^(�0{?�P2�����I$ӿӚt�00��;(�@��BR�}HgG�亝� X���^A����e� x��\�O�H������Ί�ˏ�)�� ̍�Պ� �%1����UU�yu�P��h �v����w���M���I���nk2��y���v��ɤ��{����=��/�ד��^L�O��qYNz���`�� �u{+�b���A��\���֗������������������@��b�G)��5/��~���]V�����-?�?mo������VX�D��%4?Hptz�g(�Ӄ�a/0X�D��x�R�0�� fy�j%� ��\����|P���Q��x�RF&'L�����@>2���\Y��(iwA�ۗ��;G��� I agree that if I engage in any physical activity or use the fitness equipment and/or facilities, I do so at my own risk. Before they enter the Center, I will complete and sign the Center medical form for each of them. We’ve written about Liability Risks that fitness professionals face and highlighted that websites can open a fitness professional up to liability risks that go beyond those that a face to face trainer may be at risk for liability. endobj 4. Release of Liability and Assumption of Risk For Fitness Activities at Monroe County Community College If you are taking any of the following classes, you must sign this waiver and submit it prior to the first day of class. Release of liability and assumption of risk Most people do not need to consult a physician before they start an exercise program, since a gradual, sensible exercise program will have minimal health risks. endobj This Informed Consent and Assumption of Risk and Release of Liability is entered into _____ (“Effective Date”) and is material to the Personal Training Contract and is incorporated herein by reference. 2 0 obj Assumption of Risk forms for any person under the age of 18 must be signed by a parent or legal guardian. Only one form (per person) is necessary per semester. Waiver, Release and Assumption of Risk Form I, (enter name below) have volunteered to participate in a fitness program provided to me by (enter name below), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. I assume all risk of injury, illness, damage or loss to me or my property that might result from my participation in physical exercise, classes, activities, or using the Assumption of Risk A defense, facts offered by a party against whom proceedings have been instituted to diminish a plaintiff's Cause of Action or defeat recovery to an action in Negligence, which entails proving that the plaintiff knew of a dangerous condition and voluntarily exposed himself or herself to it. ���3IDp��EV +�8���ϫ� � [��z��]��_�'��(���;��d��ߞ�&H'�p�#���h���?,� �r��a�+R�}Jx�1��� &/�H%�)`�(p���A>i��d�njq)���,�v�b;� ��>fUFq��" 2 0 obj These risks include a possible injury to muscles, bones and skeletal structures, abnormal blood pressure response, irregular heartbeats, a risk of fainting, a chance of heart attack, serious cardiac arrhythmia or even death. It is critical that you read and understand it completely. 3 0 obj I understand and recognize that the Activities I am engaging in at the USNWC are designed and endobj All participants must have an Assumption of Risk form on file prior to using The Clark Sports Center and its facilities. <>/Metadata 158 0 R/ViewerPreferences 159 0 R>> ҉�����ؼ��� �R~��d��5ċ���A/ �X���;)�?0�J��]ʂ\b��R��� �G��ș�')Y��wN|���_ covenants concerning assumption of risk, waiver, and release, hold harmless, and indemnity, and photo/video release. <> Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exer- cise activity. I understand that this assumption of risk form will remain in effect during my participation in this athletic program, unless a specific revocation of this document is filed in writing with the athletic director or other college administrator at which time my participation in this athletic program will cease. Fitness Class Waiver, Release, and Assumption of Risk Form I, the undersigned, have volunteered to participate in an i AM fitness group fitness class which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. I assume full responsibility for all risks that may arise out of or result from, directly or indirectly, Rev. x��ko���{����(1�囸�[������]�\qPl�a�ȮD�������[$�+�@s�����vfvfxoO�m�euײ|{Ҷ����=��v�������O����f�j����1;=���~����Q�8�ÊKv������o��:cg��/�_�.œs�x̖_�\��Y�WaT�YK1+b�s��է �Ɩz�j&���)co? I have fully read and understand the foregoing, and by signing this document, I hereby agree to all terms stated <> Assumption of Risk Indemnification and Hold Harmless Agreement. I agree that I am voluntarily participating in activities and the use of the employee fi tness center and, to the fullest extent permitted by law, I assume all risk of injury, illness, damage or loss to me or my pro perty. stream A parent or legal guardian must sign for anyone under 18 years old. 4 0 obj in Exercise Science, Exercise Physiology or Exercise Kinesiology or Let’s talk about the legal risks and issues that need to be considered for fitness professionals are working with clients online. Health & Fitness Liability Waiver / Informed Consent Form Assumption of Risk and Release of Liability I, the participant specified below, have enrolled in the personalised health and fitness program offered by Joy McClymont trading as Off the Track Training (Off the Track Training). �|��Yu�˪�+������Hиc �/O@"�d+$�L����9`%�����P��'OpO���x�2�]�A�3�x4�N. Download the Youth Assumption of Risk form, complete it, and submit the form at the Main Desk. 1 0 obj 4 0 obj Assumption of Risk Form Youth Fitness Center Fitness Center Consent with Respect to Minors I am also applying for a subscription to the Center on behalf of my children under the age of 18 years listed below. Waiver of Claims and Assumption of Risk Form This Waiver of Claims and Assumption of Risk Form (the “Waiver”) executed on this ____ day of _____, 20__, by the undersigned (the “Member”), in favor of Advocate Health and Hospitals Corporation, d/b/a Advocate BroMenn ... exercise equipment involves risk of injury. y�����9&O. endobj /�T��b�nл�i�Y��E0�F'1i�C�N�>Zg }v�>h���\��J�. It is important that you read and understand it completely. ����e#����fZ�P!�$�:*6�=J�ʗV�_ �˗�y��u��\(��R�Ciwk�N:�/�2�XG:o�T�>#���Jb�uqą��1+?&:�`�7�b���7������S����H�n'��m:������|o+4�\r�=?��QY�V9W��S�+��9��(�Y���T;6QR����~�۷a��"ʖ�['dO\� *V��`O��4�*m#�Y���9k� �t��Y��W��-G��Uء�=sT���X��ri�L#�C� After you have done so, please print your name legibly and sign in the spaces provided at the bottom. I recognise that the ��&�����]����.�ϴ�@�J������Y�\>m.���ħ�K�ĕ� I accept this condition of participation, and I acknowledge that I have been Waiver, Release, and Assumption of Risk Form . I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in exercise programs may cause injury, am voluntarily choosing to participate in the program. ;�R^�)���f%��C����5\�(bj|� g�b��5$���0A1,�Є~�*��r��;(��C/�ø���YXBN��Bp8{����J���慒~�+�rB|�&a^TB��-~ <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Because physical exercise can be strenuous and subject to risk of serious injury, Fitness Integrated Therapy urges you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. However, if you have not exercised for a while, consult your physician before you start or significantly increase your physical activity. It explains the risks you are assuming by beginning an exercise program. Form must be electronically signed prior to appointment * Required. 5. It is critical that you read and understand it completely. It explains the risks you are assuming by beginning an exercise program. After you have done so, please print your name legibly and sign in the spaces provided. This form is an important legal document. I understand that my decision to use the Unmanned Fitness Center and to execute this Assumption and Waiver is entirely voluntary. %PDF-1.5 05/24/2013 ASSUMPTION OF THE RISK FORM I agree that as a participant in the Fitness Center at Central Virginia Community College (the “College”), I am responsible for my own behavior and well-being. I, _____, have volunteered to participate in a fitness program provided to me by Jessica Roberts (“Trainer”), which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Waiver, Release, and Assumption of Risk Form: This form is an important legal document. In consideration of Trainer’s 3. I am electing to use the Unmanned Fitness Center of my own free will. 1 0 obj Waiver, Release, and Assumption of Risk Form This form is an important legal document. <> In addition, I understand that there are risks inherent in this voluntary fitness activity. endobj ;�l��h?��.c ��|��+�B�Q�k16�}�ѧN��\���8�"UQ�y�ώ A\��?vڝ���LDR���V��(���5�,/�K�Ƅi�Qg:ʗ�� ���q�5�y���µ˩����E���2o��T��.2��mZ"xD�a'ۥ��z�@b3��s�FX�#�#!�M�=.�,�曋:��|k�e����s��A�!���&�&I��]����H1 <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj Informed Consent and Assumption of Risk. Waiver of Claims and Assumption of Risk Form Signature of parent or guardian is required if Secondary Member is under the age of 18. I agree that if I engage in any form of physical exercise at the employee fi tness center I do so at my own risk. Sports Acknowledgement Assumption of Risk Form The undersigned, being an adult prospective student athlete or parent/legal guardian of the undersigned minor prospective student athlete, hereby acknowledge that said student seeks to participate in a student sports program sponsored by St. Mary Academy - Bay View. Assumption of Risk. in the Fitness Room is at my/our own risk and I execute this form in consideration for the Authorized Fitness Room User being allowed to access and use the Fitness Room. %���� In consideration of being permitted to participate in ZUMBA® Fitness classes, I agree to assume full responsibility for any risks, injuries or damages (known or unknown), property damage or loss of any kind in which I may incur as a result of participating in ZUMBA® Fitness classes. <>>> The Fitness Center director/designee has the right to terminate your privileges at any time without notice. ____(b) I, hereby represent that I am a duly certified personal trainer, holding either a B.A., M.A., or M.S. -P�.���~��s��v�-4�u`V�{���8�|�MDE����}�M�t��e��ڈ���.�z(0�c6b O_^���S2�g�+�U�@!��E�:�y��#��E��Aka9`cJ��������+tJ��R��.*. Waiver and Assumption of Risk Please consult with your physician before beginning any exercise program. 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