InnerCity Weightlifting Release of Liability and Assumption of Risks

Release of Liability and Assumption of Risks (this "Agreement")

I understand and expressly agree that my use of InnerCity Weightlifting, Inc. ("ICW") involves risks, including without limitation, the risk of injury to me whether caused by me or not. I understand that these risks can range from minor to major injuries, including without limitation, temporary or permanent disability or death. In consideration of my participation in the activities and use of the facilities offered by ICW, and as a condition thereto, I understand and voluntarily accept such risks. I expressly and unconditionally agree on behalf of myself, my heirs, legal representatives, and assigns, that ICW and its affiliates and their respective officers, directors, employees, agents, representatives, responsibility for (1) any and all claims for my death or any injury of any kind to me (including, without limitation, personal, bodily, or mental injury, medical and related bills, lost wages, pain and suffering, loss of consortium, emotional distress, attorney's fees and costs, or any other economic loss); (2) any damage, harm or loss to me, my spouse, domestic partner, guests, unborn child or relatives : and (3) any loss, harm or damage to my personal property or the personal property of any member of my family or my guest, in each case, that may occur as a result of the use, misuse or failure of the facilities or equipment made available by ICW, or any action or failure to act by or on behalf of ICW and/or ICW Representatives (collectively, the "Claims" Accordingly, on behalf of myself and my relatives, heirs, legal representatives and assigns, I do hereby forever and unconditionally release, waive and discharge ICW and each ICW Representative from any and all Claims.

insurers, coaches and volunteers (collectively, "ICW Representatives") will not be liable or have any

I understand and acknowledge that ICW does not manufacture fitness or other equipment in its facilities, but purchases and/or leases equipment and therefore ICW and all ICW Representatives may not be held liable for defective products.

I further understand and acknowledge that, given the mission of ICW, I will be working with and being trained by student trainers that are not yet certified trainers and are in the process of attempting to become certified trainers. I further understand and acknowledge that, given the mission of ICW, I may and likely will work with or be trained by certain student trainers involved in ICW's program who have criminal

PO Box 171313, Boston, MA 02117

www.innercityweightlifting.org

records. Accordingly, I understand and acknowledge all potential risks in connection with working with and being trained by student trainers involved in ICW's program.

In the event any relative or guest of mine makes any claim or commences any suit, action or proceeding of any kind based upon any and all liability arising out of use of the ICW facilities or equipment therein, or any action or failure to act by ICW or any ICW Representative (the "Indemnitees") I will indemnify and hold harmless the Indemnitees for any demands, assessments, judgments, costs, damages, losses and liabilities of any kind, and attorneys' fees and other expenses which result from, or are incident to, any

such claim, suit, action or proceeding.

I acknowledge that ICW did not give me medical advice before I joined, and cannot give medical advice after I join, relating to my physical condition or ability to use the facilities. I authorize ICW personnel to seek emergency medical treatment as necessary to ensure my well-being, and hereby consent to any and all such treatment.

This Agreement shall be governed and construed in accordance with the laws of the Commonwealth of Massachusetts without regard to the principals and rules of the conflicts of law thereof and is intended to be as broad and inclusive as permitted by law. If any provision or any part of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder shall not be affected thereby and shall

remain valid and fully enforceable.

I acknowledge that I have read this Agreement in its entirety and fully understand its contents. I am aware that this Agreement contains an acknowledgement of my voluntary and knowing assumption of risks, including the risk of injury. I understand that I am giving up the right to compensation for injury resulting from negligence of ICW. I further acknowledge that I have signed this document voluntarily and of my own free will.

It is strongly recommended that participants get physician approval before participating in the activities and using the facilities offered by ICW. In the event that such physician's clearance is not obtained, I represent that I am in good physical condition and have no medical reason or impairment that might prevent me from my intended use of ICW's facilities. I further certify that: I am at least eighteen (18) years of age and fully competent; or that I am under eighteen (18) years of age, and my parent/ guardian is also signing individually and on my behalf and we both agree to be bound by the terms of the agreement.

PO Box 171313, Boston, MA 02117

www.innercityweightlifting.org