2026 Summer Fun Kid's Fitness
  • Summer Fun Kid's Fitness

    Friday mornings during the summer, Temple Fitness will welcome kids between the ages of 5-12yrs, to participate in a fitness class. Each class will be approximately one hour. Class will begin at 10:00 am. The first class will be June 12 and consist of various fitness activities as well as traditional physical education. Ralph has been in education and fitness for 25 years. Dates for classes: June 12, June 19, June 26, July 10, July 24, July 31, and August 14. The cost is $90 for the first child and $60 for each additional child. Parent/Guardian must be on the premises during class. Limit 10 students per class.
  • Emergency Contact

    In case of an emergency, Temple Fitness may contact the following individual(s)
  • Waiver of Liability

  • The information requested on this form is confidential and for Temple Fitness use only. In the event of an emergency while participating at Temple Fitness the information will be used by Temple Fitness personnel. Please provide accurate, complete and true information. In case of an emergency, I give permission for my information to be released for emergency purposes. I also agree that any of my emergency contacts listed on this card may be notified in an emergency, as needed. By signing this form, I am verifying that this form is accurate, complete and true. I am aware that enrollment is not complete until a WAIVER OF LIABILITY is signed*
  •  TEMPLE BUILDERS FITNESS, LTD

    GYM MEMBER WAIVER OF LIABILITY & RELEASE 


    Because physical exercise can be strenuous and subject to risk of serious injury, Temple Builders Fitness, LTD urges you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You (each client, guest, and all participating family members) agree that if you engage in any physical exercise or activity, or use any gym amenity on the premises or off premises, including any sponsored gym event, you do so entirely at your own risk. It is the recommendation of Temple Builders Fitness,  LTD that you only use equipment you are familiar with and ask for guidance if you wish to use equipment you are not familiar with.  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. 


    This waiver and release of liability includes, without limitation, all injuries which may occur as a result of: 1) your use of all amenities and equipment in the facility and your participation in any activity, class, program, personal training or instruction; 2) the sudden and unforeseen malfunctioning of any equipment; 3) our instruction, training, supervision, or dietary recommendations; 4) your slipping and/or falling while in the building, or on the premises, including adjacent sidewalks and parking areas; 5) contact with other participants; 6) the effects of the weather, including high heat and/or humidity; and all other such risks being known and appreciated by me 7) failure to follow equipment instructions resulting in injury


    I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Temple Builders Fitness, LTD furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Temple Builders Fitness, LTD,  P. Ralph Henneman, its owner, its officers, agents, employees, organizers, representatives, and successors 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 facility 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 on the part of the facility, its agents, and employees. 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 of provisions severed her from. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.

     

     

     

     

    (Parent/Guardian's signature if under 18 years of age) I represent that I have legal capacity and authorize to act on behalf of the minor named herein.

     

  • Participant's Name
    Parent's Printed Name (If under 18)    Pick a Date   

  • WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19         

    In consideration of being allowed to participate on behalf of Temple Builders Fitness, LTD and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

    1.    Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

    2.    I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

    3.    I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

    4.    I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Temple Builders Fitness, LTD, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

    I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

     

     

  • Participant Name: * Date:   Pick a Date*   

  • FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

    This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

  • Parent's Printed Name    Pick a Date   

  • Package*
  • Payment Total*

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