DESIR FITNESS LIABILITY WAIVER AND RELEASE FORM

DESIR FITNESS LIABILITY WAIVER AND RELEASE FORM

Address: 3 Locust Street, Washingtonville, NY 10992
Participant Information

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
1. Assumption of Risk -I acknowledge that physical activities at Desir Fitness involve risks including injury, illness, or death from equipment use, workouts, or being on premises.
2. Medical Clearance - I confirm I am physically fit and assume responsibility for participation with or without medical clearance.
3. Release of Liability - I release Desir Fitness, its staff, and affiliates from any claims for injuries or damages, including those caused by ordinary negligence.
4. Equipment Use - I agree to use all equipment properly and accept responsibility for any injuries caused by misuse.
5. Media Release (Optional) -Do you give permission to Desir Fitness to use your photos/videos for promotion?
6. Minor Participants (Under 18) - This form must be signed by a parent or legal guardian.

Minor's NameLast Name
DOB

MonthDayYear
Date
7. Acknowledgement - I have read and understand this waiver and agree to the terms voluntarily.
Participant Signature
Date

MonthDayYear
Date
Parent / Guardian Signature (Under 18)
Date

MonthDayYear
Date
Should be Empty: