I have voluntarily enrolled in a fitness program offered through USA Fitness Stars (dba Wodstar) . I recognize that the program may involve physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physician’s consent prior to beginning this fitness program, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in exercises that are appropriate for the current status of my health and will stop any exercise if I feel it is too strenuous. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor if this activity is appropriate before I participate in such activity. I have been informed, understand, and am aware that strength, flexibility, and aerobic exercise, including the use of equipment, are potentially hazardous activities. I also have been informed, understand, and am aware that fitness activities involve a risk of injury to either me or my unborn child if i am pregnant and that I am voluntarily participating in these activities and using equipment with full knowledge, understanding, and appreciations of the dangers involved. I hereby waive, release, indemnify and hold harmless Wodstar its employees and agents and its successors and assigns, from any and all claims, costs, liability and expense for any injury, loss or damage whether known, anticipated or unanticipated arising from my voluntary participation and enrollment. BY SIGNING UP FOR THIS PROGRAM I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND IT. I UNDERSTAND THAT IT CONTAINS A RELEASE OF LIABILITY FOR ME AN MY UNBORN CHILD IF I AM PREGNANT. BY SIGNING UP FOR THIS PROGRAM, I AM WAIVING CERTAIN RIGHTS I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST WODSTAR.
Health & Fitness Liability Waiver & Informed Consent Form
David Celmins2019-01-10T18:04:54+00:00