GloFit Liability Waiver + Photo/Video Release

First Name *
Last Name *
Phone Number *

Area Code Phone Number
Email *
example@example.com
Are you 18 years or older?

YES NO

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FOR HOT HULA FITNESS® CLASSES

I acknowledge that I have voluntarily applied to participate in the Anna-Rita Sloss Enterprises, LLC, HOT HULA fitness® Class with HOT HULA fitness® with Nenette.

I AM AWARE THAT PHYSICAL TRAINING ACTIVITIES CAN CAUSE INJURIES AND THAT I COULD BE INJURED. I AM VOUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF WHAT IS INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

As consideration for being permitted by Anna-Rita Sloss Enterprises, LLC, class facility, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse, and legal representatives now have, and/or may have in the future for injury related to my participation in these activities.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILTY AND A CONTRACT BETWEEN MYSELF AND ANNA-RITA SLOSS ENTERPRISES, LLC AND CLASS FACILITY AND SIGN IT OF MY OWN FREE WILL.
AGREE *

Yes

Photo/Video Release

I hereby grant HOT HULA fitness® with Nenette permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web- based publications, without payment or other consideration.

I understand and agree that all photos will become the property of HOT HULA fitness® with Nenette and will not be returned.

I hereby irrevocably authorize HOT HULA fitness® with Nenette to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge HOT HULA fitness® with Nenette from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT:
AGREE *

Yes

Signature *

Clear
Date *

Month Day Year
Date
If under 18, A PARENT/GUARDIAN MUST SIGN

Clear
Date

Month Day Year
Date
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm