Fill and Sign the Waiver Release Form

Waiver, Release and Agreement with Health Club Not to Sue Agreement made on the ________________ (date) , between _____________________ (Name of Health Club Member) of _______________________________________________ _____________________________ (street address, city, county, state, zip code) , referred to herein as Member , and ___________________ (Name of Health Club) , a corporation organized and existing under the laws of the state of _______________, with its principal office located at ____________________________________________________________________ __________ (street address, city, county, state, zip code) , referred to herein as Heath Club . For and in consideration of being allowed to participate in the services and use the facilities of the Health Club, and the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned Member agrees as follows 1. It is hereby agreed that I, ____________________ (name of individual) , do fully comprehend and assume all risks involved in my use of the physical fitness equipment of the Health Club. I have been advised by Health Club to consult my physician prior to my use of the physical fitness equipment to insure that I am physically able to engage in strenuous physical activity. 2. Being fully cognizant, and assuming all risks involved in the physical conditioning program offered by Health Club, I do hereby remise, release, quitclaim, and forever discharge Health Club, its employees or agents, administrators, successors and assigns, of and from any and all manner of actions, suits, debts, accounts, damages, judgments, executions, claims, or demands whatsoever in law or equity, or otherwise, which against Health Club which I, my heirs, executors, or administrators hereafter can, shall or may have, for, upon or by reason of any injury that I may sustain or incur while using the facilities of Health Club, or while engaging in physical conditioning exercises. 3. In consideration of being accepted as a member of Health Club, I do hereby assume all risks of my involvement and do covenant and agree not to bring legal action for damages should I sustain any injury, and do further release Health Club from all acts of active or passive negligence on the part of Health Club, its agents, servants, or employees. 4. I do hereby certify and covenant that I am above the age of 18. Witness my signature this _________________ (date) . ____________________________ (Printed Name of Member) ____________________________ (Signature of Member)