RELEASE & ACKNOWLEDGMENTÂ
I the client, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. IÂ am informed that my information in this form will be kept confidential.
The fitness center has informed me that I am the only responsible party both for all the injuries during the fitness program and incorrect information. I release and discharge the fitness center trainers, administration and workers from any disclosure of my personal information in this Fitness Client Intake Form.
If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform the fitness center authorities immediately.
Â
WAVIER
VICTORIA FITNESS FACILITY & FITNESS PARTICIPATION
ACKNOWLEDGMENT
Victoria Franchise, LLC / Victoria Fitness
Draft replacement for the uploaded Personal Injury Liability Waiver - attorney review recommended
This Acknowledgment applies to use of the premises, facilities, classes, and equipment of Victoria Fitness, operated by Victoria Franchise, LLC ("Victoria Fitness"), located at 444 Broadway, Menands, NY 12204.
1. Voluntary Participation and Known Risks
  Acknowledgment of risk. I understand that exercise and use of fitness facilities involve inherent and other risks, including but not limited to falls, muscle strains, sprains, overexertion, contact with equipment, and other injuries. I voluntarily choose to participate and agree to follow applicable facility rules and safety instructions.
  Personal responsibility. I am responsible for exercising within my own abilities and for informing the trainer or Victoria Fitness staff of relevant limitations, injuries, symptoms, or conditions that may affect my ability to participate safely.
2. Independent Trainers
  Separate trainer relationship. If I receive personal-training services from an independent trainer or subcontractor at Victoria Fitness, I understand that the trainer may be an independent business and is responsible for the personal-training services that trainer provides, including exercise selection, programming, instruction, and supervision.
  No employee representation. Unless Victoria Fitness expressly states otherwise in writing, an independent trainer is not an employee of Victoria Fitness merely because the trainer provides services at the facility.
3. Rules and Equipment
  Safe use. I agree to use equipment for its intended purpose, follow posted rules, and promptly report damaged equipment or unsafe conditions to Victoria Fitness.
  Staff authority. Victoria Fitness may require an activity to stop when reasonably necessary to address an apparent safety concern, facility rule violation, or emergency.
4. Emergency Treatment
1. Emergency assistance. In an emergency, I authorize reasonable efforts to obtain emergency medical assistance for me. I understand that Victoria Fitness is not responsible for medical expenses except to the extent required by law.
5. Legal Rights Preserved
1. No unlawful release. Nothing in this document is intended to release, waive, or limit any claim or liability that cannot legally be released, waived, or limited under New York law.
2. Severability. If any provision is determined to be unenforceable, the remaining provisions will remain effective to the fullest extent permitted by law.
6. Acknowledgment
By signing below, I acknowledge that I have read and understand this document, have had an opportunity to ask questions, and agree to comply with Victoria Fitness policies and safety rules.