Fill and Sign the Waiver and Release from Liability for Dojo Form

- 1 – Copyright 2004 USLegalforms.com WAIVER AND RELEASE BY PARENT OF MINOR CHILD FROM OWNER LIABILITY FOR EXERCISE FACILITY I, , on behalf of ,(hereinafter referred to as “CHILD”) HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge and its agents, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilitie s, of every kind and nature, whether known or unknown, in law or equity, that I or CHILD ever had or may have, arising from or in any way related to CHILD’S participation in any of the events or activities conduc ted by, on the premises of, or for the benefit of, provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct. I understand that the activities that said CHILD will participate in are inhe rently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, CHILD, my heirs, assigns and next of kin, I and said CHILD waive all claims for damages, injuries and death sustained to me, CHILD, or property, that I or CHILD may have against the aforementioned released party to such activity. CHILD has the necessary and requisite skills to participate in all facets and a ctivities of and requested of this exercise facility, except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participating activities is expressly made a part of this WAIVER AND RELEASE. By this Waiver, I, on behalf of said CHILD, assume any risk, and take full responsibility and wa ive any claims of personal injury, death or damage to personal property associated with , including but not limited to taking aerobics classes or other cardiovascular activi ties classes at the facility, using the facility and its equipment in any manner form or fashion, and practicing and/or engaging in weightlifting activities, or other related activities on and off the premises. Use of the facility and its equipment includes but is not limited to mean use of hot tub, sauna, steam room, swimm ing pool, ice rink, tanning bed, daycare, basketball court, tennis courts, racquetball courts, track, recreati onal lounge, nautilus, etc. This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any prior written or oral agreements between them concerning the subject matter of thi s WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in full force and effect even a fter the termination of the activities conducted by, on the premises of, or for the benefit of, whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I underst and and confirm that by signing this WAIVER AND RELEASE that said CHILD and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all lia bility to the full extent of the law. - 2 – Copyright 2004 USLegalforms.com Medical Conditions. CHILD is subject to the following allergies or medical conditions, and I authorize the facility to disclose these conditions to a physician or other medical professional in the event said CHILD should require emergency medical care: Prohibited Activities. As a result of the above-mentioned medical conditions, I, on beha lf of said CHILD, am prohibiting involvements in the following specific activities: Date Printed Name of CHILD Printed Name of Parent (Guardian) Signature of Parent (Guardian)