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Release of Liability & Assumption of Risk
Please fill out the following release of liability in order to participate in our activity. Submissions are required at least 2 hours in advance of the activity.
I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in a physical activity.
Having such knowledge, I hereby acknowledge this release, any representatives, agents, and successors from laibility for accidental injury or illness which I may incur as a result of participating in said physical activity. I hereby assume all risks connected therwith and consent to participate in said program. I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program.
I knowingly and freely assume all risks, both known and unknown, even if arising from the negligence of the releases of others, and assume full responsibility for my participation.
I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Rachel Wakley immediately.
I, for myself and on the behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Rachel Wakley and, if applicable, owners and lessors of premises used to conduct the event (releasees), from any and all claims, demands, losses, and liability arising out of or related to any injury, disability, or death I may suffer, or loss or damage to person or property. Whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.
By signing below, I hereby grant and convey to Rachel Wakley all right, title, and interestin and to record my name, image, voice, or statements including any and all photographic images and video or audio recording made by Rachel Wakley or Jason Berg.
Thanks for submitting!