Personal Exercise Waiver

PERSONAL EXERCISE WAIVER

This Personal Exercise Waiver (the "Waiver") documents the agreement between the Participant and the Activity Provider concerning participation in the described exercise activity. By signing below the Participant acknowledges the risks, represents material health facts, and agrees to release and indemnify the Provider, its instructors, employees, agents and volunteers.

Activity Details

Participant Information

Health Representation and Screening

By initialing or checking the boxes below, I represent that the following statements are true and accurate to the best of my knowledge. I understand that inaccurate or omitted information may increase the risk and may result in denial of participation.

I do not have a diagnosed heart condition or history of heart attack, angina, uncontrolled hypertension, or arrhythmia.

I have not had major surgery or been advised to limit physical activity by a licensed medical professional within the past 6 months.

If female, I am not pregnant or attempting to become pregnant unless I have medical clearance from my provider.

I have no known bone, joint, or soft tissue condition that would be aggravated by exercise without prior medical clearance.

I do not have any other uncontrolled medical condition (e.g., diabetes complications, seizures) that would make exercise unsafe.

Acknowledgement of Risk

I acknowledge that participation in physical exercise and training carries inherent risks including, but not limited to, strains, sprains, cardiovascular events, exacerbation of pre-existing conditions, fractures, and in rare cases death. I understand that these risks may arise from my own actions or inactions, the actions or inactions of others, the condition in which the activity takes place, or the negligence of the Provider.

I have read and understand the risks described above and voluntarily choose to participate.

Release, Waiver and Indemnification

In consideration of being permitted to participate, I, for myself, my heirs, executors, administrators and assigns, hereby fully release, waive, discharge and covenant not to sue the Provider, its officers, directors, instructors, agents, employees and volunteers (collectively "Released Parties") from any and all liability, claims, demands, actions or causes of action whatsoever arising out of or related to any loss, damage, injury or death that may be sustained by me, whether caused by negligence of the Released Parties or otherwise, while participating in or traveling to or from the activity.

I further agree to indemnify, defend and hold harmless the Released Parties from and against any and all claims, demands, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or connected with my participation, including claims resulting from my failure to follow instructions or to disclose relevant medical information.

Medical Treatment Authorization

In the event of injury or illness, I authorize the Released Parties to secure and provide emergency medical treatment, and I agree to be responsible for all costs associated with such treatment and transportation. I understand that the Provider is not obligated to obtain medical services for me and that I assume all costs associated with any medical care provided.

I authorize emergency medical treatment as described above.

Photography and Media

I grant permission to the Provider to photograph or record me during activities and to use such media for promotional, educational, or training purposes. I understand that I will not receive compensation for such uses.

I consent to the use of my image and recordings as described above.

Minor Participant (if applicable)

If the Participant is under 18 years of age, a parent or legal guardian must sign this Waiver on the Participant's behalf. The parent/guardian certifies that they have legal authority to consent to this Waiver and that they accept the terms on behalf of the minor.

Participant is under 18 years of age

Miscellaneous Provisions

Severability: If any provision of this Waiver is held invalid or unenforceable, the remaining provisions shall continue in full force and effect. Governing Law: This Waiver shall be governed by and construed in accordance with the laws of the state or jurisdiction in which the activity takes place.

I certify that I have read this Waiver in its entirety, that I understand its terms, that I have had the opportunity to ask questions, and that I am signing it voluntarily and with full knowledge of its significance.

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