Waiver of Liability for Gym Use

Please read the following, fill out your information, and sign.

Because physical exercise can be strenuous and subjec to risk of serious injuory, YOUR GYM NAME, urges you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You (each client, guest, and all participating members of your family) agree that if you choose to engage in physical exercise or activity, or any use of gym equipment on the premises or off the premisses, including any gym event, you do so entirely at your own risk. Any recommdations for dietary changes, including the usage of food supplements, weight reduction and/or body building enhancement products are entirely your responsiblilty and you should consult a doctor before making any dietary or supplement changes. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risk of injury. We are also not responsible for any loss of your personal property.

This waiver and release of liability includes, without limitation, all injuries which may occur as a result of:

1) your use of all amenities and equipment at YOUR GYM NAME and your participation in any activity, class, program, personal training or instruction

2) the sudden and unforeseen malfunctioning of any equipment

3) our instruction, training, supervision, or dietary suggestions

4) your slipping and/or falling while in the building, or on the premises, including adjacent sidewalks and parking areas

5) contact with other participants

6) the effects of the weather, including high heat and/or humidity; and all other such risks being known and appreciated by me.

I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing
the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation at YOUR GYM NAME, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE YOUR GYM NAME, its owner, its officers, agents, employees, organizers, representatives, and successors from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the facility for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of the facility, its agents, and employees.

If any portion of this release from liability shall be deemed by a court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect, and the offending provision of provisions
severed her from.

By signing this release, I acknowledge that I understand its content and that this release cannot be modified.

Participant Name:






Emergency Contact:

Emergency Contact Phone:

(Parent's Signature if under 18 years old)

I represent that I have legal capacity and authority to act on behalf of the minor child named herein.

Parent/Guardian Signtuare:


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