Waiver and Agreement Form
Please complete all required fields below to acknowledge and accept the waiver terms. All information is mandatory.
Rules/ Acknowledgements
1. The facility is self-service and I assume the risk of injury for use of any equipment situated within the facility.
Rules/ Acknowledgements
I acknowledge that there is not a full-time employee of BODYWORKS at the location, and I agree that there is no guarantee of the safety of the equipment. I will use it only after inspection and at my own risk.
Rules/ Acknowledgements
2. I agree to abide by the posted rules of conduct which are at the facility and agree toabide by any written rules provided to me.
Rules/ Acknowledgements
3. I agree to use my best efforts to keep the facility clean and to respect the rights ofother members in use of the facility.
Rules/ Acknowledgements
4. I acknowledge that I have read this instrument and understand its terms. I am not relyingon any representation or any expertise of the owners, officers, agents or employees ofBODYWORKS.
Member Full Name
*
Signing Day
*
Signing Month
*
Signing Year
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Bank Name
*
Bank Routing #
*
Bank Account #
*
Type of Account
*
Checking, savings, etc
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
Submit Waiver
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