Form
Conn Human Performance LLC Liability Waiver Release
**PLEASE REVIEW AS YOU ARE SIGING AWAY CERTAIN RIGHTS AND LIMITING OTHERS**
RELEASE OF LIABILITY, INDEMNITY, AND ASSUMPTION OF RISK: Conn Human Performance LLC Provides you and the general public with group fitness, sports and skill training, and other services of any kind (RPR, Reflexive Performance Reset Sessions). By Signing below, you acknowledge and agree to the following: You represent that (1) you are over 18 years of age or a legal guardian is signing on your behalf, (2) you are physically fit to participate in any and all Conn Human Performance LLC Programs/services and (3) that prior to participation I the program, you have consulted a physician regarding any limitations or medical risks that you may have in relation to the programs and certify that you are free from any such limitations and medical risks. You further understand and agree that the program/services provided by Conn Human Performance LLC involves physical exertion and strenuous physical activity by you, which entails certain risks and serious bodily injury and/or death may occur. For example, physical contact with trainer/instructor, other participants (if any), equipment or surfaces may occur during the program/services. With full knowledge of the risks of serious bodily injury and death, you voluntarily choose to participate in the program(s)/services offered and (I) hereby forever release, covenant not to sue, discharge and waive all liability on behalf of Conn Human Performance LLC, its employee, executives, agents, affiliates (including without limitations, affiliates of Conn Human Performance LLC), Its owners, subsidiaries, partners, sponsors, assigns, owners and kind, property damage, theft of property or death, suffered by you as a result of your participation in any and all programs/services, regardless of whether such bodily injury or death was due to negligence of any kind committed by Conn Human Performance LLC or the releasees of otherwise, (II) agree to indemnify and hold harmless Conn Human Performance LLC and the releases from any loss, liability or cost they may incur arising out of or related to your participation in any program(s)/Service’s, and (III) assume full responsibility for any bodily injury, death, theft of property or property damage arising out of or related to your participation in any program(s)/services. GOVERNING LAW; ARBITRATION. Notwithstanding your agreement not to sure Conn Human Performance LLC and the releases and without Conn Human Performance LLC or releases waiving their rights under the foregoing paragraph, you agree that in the event of any legal action, all such legal proceedings of any kind, including those related to the enforceability of this waiver, shall be arbitrated pursuant to the federal arbitration act, and such arbitration shall be the exclusive, final and binding remedy. The parties agree that the arbitration shall take place in Champlin Minnesota and will be through the American arbitration association, applying the internal laws of the state of Minnesota (without giving effect to its conflict of laws principles). Judgement upon any award reached by the arbitrators may be entered in any federal or state court having jurisdiction thereof. The arbitration shall take place before a single arbitrator jointly selected (or appointed by the AAA if the parties are unable to agree upon an arbitrator within ten days). The non-prevailing party shall be responsible for payment of the full costs of the arbitration and reasonable expenses of the prevailing party including attorney fees and expert witness fees. The award rendered by the arbitration may be entered in any court having jurisdiction. YOU CERTIFY THAT YOU HAVE READ THE FOREGOING AND UNDERSTAND THAT BY SIGNING BELOW, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS AND REMEDIES AND INDTEDN THAT YOUR SIGNATURE BE A COMPLETE AND UNDCONDITIONAL RELEASE OF ALL LIABILITY ON BEHALF OF CONN HUMAN PERFORMANCE LLC AND THE RELEASEES TO THE GREATED EXTENT PERMITTED BY LAW. SOCIAL MEDIA RELEASE. I hereby authorize Conn Human Performance LLC and all affiliates to record my name, likeness, image, voice and participation in film, tape, electronic recording of any kind, or otherwise for use in all Conn Human Performance LLC related initiatives. I agree that all photo, video, and other production related materials may be edited and otherwise altered at the sole discretion of Conn Human Performance LLC and used in whole or in part at the sole discretion of Conn Human Performance LLC whether it be for public or private use. I further agree and understand that I have no rights to any production related to Conn Human Performance LLC or any benefits derived therefrom, thereby irrevocably and unconditionally releasing, and waiving all rights, legal and moral, so that Conn Human Performance LLC may fully exploit my name, likeness, image, voice and participation in film, tape, social media or otherwise. Conn Human Performance LLC agrees to comply with applicable privacy laws.
AGREED AND ACCEPTED:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Signature
*
Parent or Guardian Signature (If Under Age 18)
Submit
Submit
Should be Empty: