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  • Everyday Energy Consent and Waiver

  • I      hereby affirm that I am voluntarily starting a course of instruction in physical fitness and performance training Everyday Energy class by Shamere Young. I am voluntarily participating in theEveryday Energy class entirely at my own risk.

  • By signing this document, I acknowledge that I have chosen to participate in a program of physical exercise known as Everyday Energy class (hereinafter referred to as "the Program") which can enhance the musculoskeletal and cardio-respiratory systems. By signing this document, I acknowledge that I have been informed of the strenuous nature of the Program and the potential for unusual physiological results including, but not limited to, abnormal blood pressure, fainting, heart attack or death.

    By signing this document, I assume, to the extent legally permissible, all responsibility and risk for my health and well being and hold harmless Shamere Young, LLC and any of their associates, including the studio wherein classes are held (if applicable) from all damages or claims directly or indirectly resulting from my participation in the Program. I understand that Shamere Young welcomes and encourages questions about exercise procedures and the Program.

  • By signing this document, I acknowledge that I have been informed of the need to obtain a physician's examination if I answer "yes" to any of the questions on the Physical Activity Readiness Questionnaire (PARQ) and will obtain written consent from my physician on the ParMedX form. I fully understand that the Program will be strenuous and my choice to participate completely voluntarily.

    I assume, to the extent legally permissible, all responsibility and risk for my health and well being and hold harmless Shamere Young, LLC and any of their associates, including the studio wherein classes are held (if applicable), from all damages or claims directly or indirectly resulting from my participation in the program, including damages or claims arising from the alleged negligence or fault of Shamere Young,LLC , the studio wherein classes are held and any of their associates (if applicable

  • I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage. 
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