This form is an important legal document. It explains the risks you are assuming by beginning/participating in an exercise program. lits critical that you read and understand it completely. After you have done so, please print your name legibly and sign in the space provided at the bottom.
I, with full knowledge and understanding that participation in the physical activities and fitness training services offered by Houston Downtown Management District, their subsidiaries or any of their affiliated companies, involves increased personal injury to me and/or my child/ward. Such personal injury may result from my own action or inaction and/or the action or inaction of others. I understand that this program 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. Therefore, 1 assume all responsibility for any of the physical changes that could occur through my participation and/or my child's/ward's participation in any Houston Downtown Management District fitness program. I understand that as a result of my and/or my child/ward participation in an exercise program, I and/or my child/ward could suffer an injury or physical disorder that could result in becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.
I understand that I and/or my child/ward should consult a physician prior to beginning any activity program, including the Houston Downtown Management District Downtown Residential Bike Club. I recognize that it is my responsibility to notify my and/or my child’s/ward’s instructor of any serious illness or injury before every class. I and/or my child/ward will not perform any postures to the extent of strain or pain. I also give full permission for any person connected with Houston Downtown Management District to administer first aid deemed necessary to me and/or my child/ward. In case of serious illness or injury, I give permission to call for medical and or surgical care for myself and/or my child/ward, and to transport me and/or my child/ward to a medical facility deemed necessary.
I hereby grant permission to Houston Downtown Management District, and its employees, agents, representatives, licensees and assigns the right to photograph and/or video me and/or my child/ward, and use my and/or my child’s/ward’s image, likeness, voice, appearance and depiction. I hereby grant permission to Houston Downtown Management District to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I hereby consent to and permit photographs/video of me and/or my child/ward to be used by Houston Downtown Management District for purposes including but not limited to exhibition, publicity, advertising, and promotional materials and in any medium, including print and electronic without reservation or limitation. I understand that Houston Downtown Management District may use such photographs/video with or without associating names thereto. I further waive any claim for compensation of any kind for Houston Downtown Management District or publication of photographs of me and/or my child/ward. I understand that leaving my bike unattended during any ride and post-ride activities is at my discretion. The Houston Downtown Management District, and its contract entities, will bear no liability for any loss, theft or damage to bicycles.
I, ON MY OWN BEHALF, AND ON BEHALF OF MY CHILD/WARD LISTED BELOW, AGREE TO WAIVE, RELEASE, DISCHARGE AND HOLD HARMLESS Central Houston inc. AND ITS RESPECTIVE OWNERS, OPERATORS, SUBSIDIARIES, AFFILIATES, OFFICERS, AGENTS, EMPLOYEES, VENDORS, CONTRACTORS, AND VOLUNTEERS (“RELEASED PARTIES”) FROM ANY AND ALL LIABILITIES, INJURIES, ACCIDENTS, ILLNESSES, CLAIMS, DEMANDS, DAMAGES RIGHTS, OR CAUSES OF ACTION, PRESENT OR FUTURE, ARISING OUT OF, OR IN CONNECTION WITH: my and/or my child’s/ward’s MY USE OR PRESENCE ON THE PREMISES; (B) PARTICIPATION IN ANY OF central Houston inc. CLASSES OR EXERCISE PROGRAMS; (C) USE OF OR PUBLICATION OF PHOTOGRAPHS OF ME AND/OR MY CHILD/WARD BY Central Houston inc. (INCLUDING, BUT NOT LIMITED TO, INVASION OF PRIVACY, DEFAMATION, FALSE LIGHT OR MISAPPROPRIATION OF NAME, LIKENESS OR IMAGE); (D) USE OF THE FACILITIES, EQUIPMENT, SERVICES, OR PROGRAMS, AND (E) MY and/or my child’s/ward’s PARTICIPATION IN WORKSHOPS OR ACTIVITIES WITHIN OR OUTSIDE OF Central Houston inc. LOCATIONS RESULTING FROM IN WHOLE OR IN PART BY A PRE-EXISTING DEFECT, THE NEGLIGENCE (WHETHER SOLE, JOINT OR CONCURRENT), GROSS NEGLIGENCE, STRICT LIABILITY OR OTHER LEGAL FAULT OF THE RELEASED PARTIES.
ACKNOWLEDGEMENT AND UNDERSTANDING: I ACKNOWLEDGE THAT BY SIGNING THIS AGREEMENT, I HAVE CAREFULLY AND THOROUGHLY READ, FULLY UNDERSTAND, AND VOLUNTARILY ACCEPT AND AGREE TO ITS TERMS, INCLUDING UNDERSTANDING THAT IT’S A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I MAY HAVE ON BEHALF OF MYSELF AND/OR MY CHILD/WARD TO BRING A LEGAL ACTION OR ASSERT A CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST ANY OF THE RELEASED PARTIES FOR ANY REASON WHATSOVER. IF ANY ATTEMPT FOR SUCH CLAIM IS MADE, I AGREE TO FULLY INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS AGAINST ANY AND ALL CLAIMS BROUGHT BY ANYONE AGAINST THE RELEASED PARTIES RELATED TO ANY SUCH INJURIES, HARM, OR DAMAGES.