FITNESS ROOM WAIVER

FITNESS ROOM WAIVER
USING WEIGHTS AND OTHER WORKOUT EQUIPMENT CAN BE AN INHERENTLY DANGEROUS ACTIVITY AND, AS SUCH, AUSTIN17HOUSE REQUIRES ALL THOSE PARTICIPATING IN SUCH ACTIVITIES OR USING ANY AUSTIN17HOUSE EQUIPMENT OR FACILITIES TO SIGN THIS WAIVER. PARTICIPANT MUST BE TWELVE YEARS OF AGE AT MINIMUM TO USE WORKOUT EQUIPMENT AT AUSTIN17HOUSE.
RELEASE AND WAIVER OF RESPONSIBILITY
I UNDERSTAND THAT USING WORKOUT EQUIPMENT IS AN INHERENTLY DANGEROUS ACTIVITY AND ACKNOWLEDGE THAT THERE ARE RISKS INHERENT IN ITS PRACTICE, INCLUDING BUT NOT LIMITED TO EXPOSURE TO SHARP OBJECTS, EXPOSURE TO FALLING OBJECTS, SPRAINS, STRAINS, OR RISK OF FALLING.I CERTIFY THAT I AM 12 YEARS OF AGE OR OLDER.*

I agree
I UNDERSTAND THAT MY NEGLIGENCE OR FAILURE TO ACT WITHIN MY ABILITIES MAY CONTRIBUTE TO OR RESULT IN INJURY.*

I agree
I HEREBY REPRESENT AND WARRANT THAT I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I MAY BE WAIVING CERTAIN LEGAL RIGHTS. I UNDERSTAND THAT I WILL BE RESPONSIBLE FOR ALL ACTIONS TAKEN AT THE A17H FACILITIES, INCLUDING WITHOUT LIMITATION, USE OF EQUIPMENT AND FACILITIES. I UNDERSTAND THAT I AM SOLELY RESPONSIBLE FOR ANY AND ALL DAMAGES, WHETHER DIRECT OR CONSEQUENTIAL, FOR THE USE AND APPLICATION OF INFORMATION GIVEN AT ANY SEMINAR, WORKSHOP OR CLASS OR CONTAINED IN ANY WRITING DISTRIBUTED BY A17H.
YOUTH NAME*

First NameLast Name
Date*

MonthDayYear
Date
Youth Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Prent/Guardian Signature*

Powered by Jotform SignClear
Should be Empty:

FITNESS ROOM WAIVER

RELEASE AND WAIVER OF RESPONSIBILITY