Waiver | Sacred House

Gym & Fitness Liability Waiver

First Name

Last Name

Date of Birth

Are you in good health standing and permitted by your doctor or health professional to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

Assumption of Risk

I am fully aware that my participation in the Fitness Activities may result in physical injuries, partial or total disablement, and mental changes. These injuries and mental changes are not limited to fainting, abnormal blood pressure, heart attack, death, and others. I understand and fully accept sole responsibility for my safety and all injuries and changes that may occur in the duration and/or resulting from engaging in Fitness Activities.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program. I waive the right of my insurers’ who wish to make such claims. I indemnify and hold harmless the Fitness Provider against all legal claims which may arise from my conduct or actions. I agree that the Fitness Provider may participate and choose its own legal representatives in its own defense.

I agree to the terms & conditions

Thanks for submitting!

Sacred

Gym & Fitness Liability Waiver

Assumption of Risk

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