• HOMETOWN NUTRITION + FITNESS

  • WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK AGREEMENT

  • Format: (000) 000-0000.
  • I, the undersigned, acknowledge that participation in physical fitness training, exercise programs, fitness classes, recreational activities, and use of equipment or facilities at Hometown Nutrition + Fitness involves inherent risks that may result in bodily injury, illness, paralysis, permanent disability,

    or even death. These risks include, but are not limited to: - Slips, trips, falls, or collisions with equipment or other participants - Muscle strains, sprains, fractures, or other injuries - Adverse health reactions due to pre-existing medical conditions - Risks associated with the use of trampolines

    I voluntarily assume all risks related to my participation and/or my child's participation.

    2. RELEASE OF LIABILITY & INDEMNIFICATION

    To the fullest extent permitted by law, I hereby waive, release, discharge, and hold harmless Hometown Nutrition + Fitness, its owners, employees, trainers, contractors, affiliates, and representatives from any and all claims, demands, causes of action, damages, costs, expenses, or liability, whether by negligence or otherwise, arising from my participation or my child's participation.

  • 3. MEDICAL DISCLOSURE & EMERGENCY AUTHORIZATION

    Do you have any medical conditions, injuries, or allergies that may affect your ability to participate?

  • Are you taking any medications that may affect your physical performance? If, Yes (Please specify):
  • Emergency Medical Authorization: In the event of an emergency, I consent to receive medical

    deemed necessary by emergency personnel. I understand that I am responsible for all medical costs

    4. CHILD PARTICIPATION & SUPERVISION

    If signing for a minor:

    - I acknowledge that I am the parent or legal guardian.

    - I understand that trampoline activities pose risks and accept full responsibility.

    - I agree to supervise my child, as staff are not responsible for direct supervision.

  • 5. PHOTO & VIDEO RELEASE
  • 6. GENERAL AGREEMENT & SEVERABILITY

    - I agree to follow all facility rules, safety instructions, and guidelines. - I understand that failure to comply may result in removal without refund. - If any portion of this waiver is found invalid, the remaining provisions shall remain in full force.

    7. SIGNATURE & AGREEMENT IHAVE READ THIS WAIVER IN FULL, UNDERSTAND ITS TERMS, AND SIGN IT VOLUNTARILY.

  • I UNDERSTAND I AM GIVING UP LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

  • Should be Empty: