MoveHER Participation Release
Thank you for registering for MoveHER, presented by The Haven Women’s Ministry. By submitting this form, you acknowledge and agree to all liability terms and conditions associated with this event.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
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Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any medical conditions or physical limitations we should be aware of?
Liability Statement
By registering, I acknowledge that participation in MoveHER may involve physical activity that carries risks of injury. Dance & Fitness Class Liability Waiver and Release I understand that participation in the dance and group fitness classes offered by Reveal Church Ministries. Inc., Mark Rice Jr. (Mark the Fitness Preacher), Temple Turn Up, LLC, and TTUP LLC is voluntary and involves physical activity that may result in injury, illness, or, in rare cases, serious medical conditions. I acknowledge that I have been encouraged to consult with a physician before participating in any exercise program and that I am participating at my own risk. I understand that risks may include, but are not limited to, muscle strains, sprains, dizziness, fainting, breathing difficulties, abnormal blood pressure, heart attack, stroke, and other injuries, including risks that cannot be predicted. By signing this waiver, I voluntarily release and forever discharge Reveal Church, Mark Rice Jr. (Mark the Fitness Preacher), Temple Turn Up, LLC, TTUP LLC, and their owners, employees, instructors, agents, volunteers, affiliates, successors, and assigns from any claims, liabilities, damages, or causes of action arising from my participation, including those resulting from physical or psychological injury, to the fullest extent permitted by law. I agree to indemnify and hold harmless the released parties from any claims, demands, damages, costs, or attorney's fees arising from my participation or brought on my behalf. If I require emergency medical care, I authorize the released parties to obtain emergency assistance, including first aid, CPR, AED use, emergency transportation, and the sharing of necessary medical information with emergency personnel. I understand that I am solely responsible for all medical expenses incurred and that I am responsible for maintaining my own health insurance. I also agree to be financially responsible for any damage to equipment or facilities caused by my intentional misconduct, negligence, or reckless behavior. By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this Liability Waiver and Release. I understand that I am giving up certain legal rights, including the right to sue, to the fullest extent permitted by law.
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