WAIVER & RELEASE FORM
It is my desire to utilize the premises, facilities, and equipment owned by Victoria Fitness located at 444 Broadway, Menands, NY 12204 (hereafter called "Owner").
I acknowledge that there could be a risk of personal injury in the use of the premises, facilities, classes, and equipment.
In consideration of the Owner allowing the undersigned user to be on and to utilize said premises, facilities, classes and equipment, I agree to assume the risk of personal injury. I agree to hold harmless the Owner and the employees of Victoria Fitness, as a business and individually, from any and all liability claims, damages, losses, or cause of action, which may be incurred by the user while he/she is on said premises, or while using said equipment or taking any classes. I agree to hold harmless the Owner and the employees of Victoria Fitness for anything that may arise, including, but not limited to, any negligence, any loss arising from theft, or any other reason whatsoever.
In addition, (if the user is a minor) I hereby grant permission for the user to be on the said premises, and to utilize the facilities and equipment thereon.
Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness, or death. We are also not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By purchase of ticket, I acknowledge that I understand its content and that this release cannot be modified orally.