This form is an important legal document. It explains the risks you are assuming by participation in an exercise program. It
is important that you read and understand it completely.
Waiver, Informed Consent, and Covenant Not to Sue
I have volunteered to participate in a personal training plan/program under the
direction of Summit Performance & Health (Paul Tighe), which will include, but may not be limited to, weight
and/or resistance training. In consideration of Summit Performance & Healths (Paul Tighe) agreement to instruct, assist, and train me, I do here and forever
release and discharge and hereby hold harmless Summit Performance & Health (Paul Tighe), and their respective agents, heirs, assigns, contractors, and
employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of
or connected with my participation in this or any exercise program including any injuries resulting there from. THIS
WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY
OCCUR AS A RESULT OF (1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK (2) ANY SLIP, FALL,
DROPPING OF EQUIPMENT AND (3) OUR NEGLIGENT INSTRUCTION OR SUPERVISION.
Assumption of Risk
I recognise that exercise might be difficult and strenuous and that there
could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical
changes during exercise does exist. These changes include abnormal blood pressure; fainting; disorders in heartbeat; heart
attack; and, in rare instances, death.
I understand that as a result of my participation, I could suffer an injury or physical disorder that could result in my
becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.
I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate.
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM
AGAINST Summit Performance & Health (Paul Tighe), or OTHERS REFERRED TO IN THIS DOCUMENT FOR ANY NEGLIGENCE OR THAT
OF OUR EMPLOYEES, AGENTS, OR CONTRACTORS.