• New Level Participation Waiver & Release

    The Level 10 Nutrition Club LLC d/b/a New Level Nutrition (New Level) 10 Cedar Swamp Road, Smithfield, RI 02917

  • Participant Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you 18 years of age or older?*
  • Format: (000) 000-0000.

  • Participant Responsibilities

  • I understand that I am responsible for determining whether I am physically and medically able to participate. I confirm that I have not been advised by a qualified healthcare provider to avoid the activities in which I intend to participate. I understand that New Level and its instructors do not provide medical advice, diagnosis, treatment, physical therapy, or individualized medical supervision.

    I agree to inform the instructor before class of any injury, pregnancy, medical condition, physical limitation, or other circumstance that may affect my ability to participate safely.

    I understand that it is my responsibility to choose an appropriate level of participation and to modify or discontinue any activity that causes pain, dizziness, shortness of breath, unusual discomfort, or other concerning symptoms. I agree to follow all reasonable instructions, safety rules, and equipment directions.

  • Assumption of Risk

  • I understand that participation in fitness classes, exercise programs, physical training, stretching, strength training, cardiovascular activity, and other physical activities involves inherent and unavoidable risks. These risks may include, but are not limited to, falls, collisions, overexertion, muscle strains, sprains, fractures, equipment-related injuries, aggravation of an existing medical condition, illness, cardiac events, serious injury, permanent disability, or death.

    I voluntarily choose to participate with full knowledge of these risks. I knowingly and voluntarily accept and assume responsibility for all risks associated with my participation, whether known or unknown, foreseeable or unforeseeable, except to the extent that a risk cannot legally be waived under Rhode Island law.

  • Release of Liability

  • For purposes of this agreement, “New Level” means The Level 10 Nutrition Club LLC d/b/a New Level Nutrition.

    In consideration for being permitted to participate, I release and agree not to sue New Level; its owner, members, employees, instructors, coaches, independent contractors, volunteers, representatives, and agents; and the owner, landlord, manager, and other responsible parties associated with the property located at 10 Cedar Swamp Road, Smithfield, Rhode Island (collectively, the “Released Parties”).

    This release applies to claims for bodily injury, illness, death, property damage, loss, or expense arising from or relating to my presence at the property or participation in an activity, including claims arising from the ordinary negligence of a Released Party, to the fullest extent permitted by Rhode Island law.

    This release applies to activities conducted inside the fitness room and other areas of the establishment, as well as entrances, exits, stairs, walkways, parking areas, and any outdoor or off-site location used for a New Level class, workout, activity, program, or event.

    This release does not apply to gross negligence, reckless conduct, intentional misconduct, or any liability that cannot legally be waived.

    If any part of this agreement is found to be invalid or unenforceable, the remaining provisions will continue in effect to the fullest extent permitted by law. This agreement will be interpreted under the laws of the State of Rhode Island.

  • Equipment and Facility Safety

  • I agree to use the facility and equipment only as intended and to follow all instructions provided by the instructor. I will not use equipment that appears damaged or unsafe, and I will promptly notify an instructor or staff member of any unsafe condition.

    I understand that I am responsible for my personal belongings and that the Released Parties are not responsible for lost, stolen, or damaged property except as otherwise required by law.

  • Emergency Medical Authorization

  • If I become injured or ill and cannot provide instructions, I authorize New Level staff or instructors to contact emergency services and provide reasonable assistance until help arrives.

     I understand that the Released Parties are not obligated to provide medical care and that I am responsible for expenses associated with emergency transportation or treatment, subject to applicable law and insurance coverage.

  • Parent or Legal Guardian Agreement for a Minor

  • I confirm that I am the parent or legal guardian of the minor participant identified in this form and that I have the legal authority to sign this agreement on the minor’s behalf.

    I give permission for the minor to participate in New Level fitness classes, workouts, activities, programs, and events. I acknowledge the inherent risks described in this agreement and voluntarily accept those risks on behalf of myself and, to the fullest extent permitted by Rhode Island law, on behalf of the minor.

    I have carefully read and understand the Assumption of Risk, Release of Liability, Participant Responsibilities, Equipment and Facility Safety, and Emergency Medical Authorization sections. I agree to the release and other terms of this agreement on my own behalf and, to the fullest extent permitted by Rhode Island law, on behalf of the minor.

    I authorize emergency assistance for the minor as described in this agreement. I understand that signing this agreement is required before the minor may participate.

  • Acknowledgment of Agreement Terms*

  • Signature and Consent

  • Adult participants must sign for themselves. A parent or legal guardian must sign for a participant under 18.

  • Signing Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: