By reading and signing below I am in agreement with all statements provided below.

1. That I am participating in the training, programs, exercises and events, Zumba Classes, Fitness classes offered by Cathy Kopa, or alternate instructor during which I will receive instruction.

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participating in any Fitness Program.  I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in this class. 

3. In consideration of being permitted to participate in any Group Fitness Class I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.

4. In consideration of being permitted to participate in any Fitness Program I knowingly, voluntarily, and expressly waive any claim I may have against  Cathy Kopa,  The Stillwater Community Center, owners, landlords or insurers or any Zumba/Fitness Instructor for injury or damages that I may sustain as a result of participating in the program.      

5. I, my heirs or legal representatives forever release, waive, discharge, and covenant not to sue Cathy Kopa, The Stillwater Community Center, owners, landlords or insurers or any Zumba/Fitness Instructor any injury or death caused by their negligence or other acts.

I have read the above release and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.