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In consideration of gaining access to participate in activities associated with Elect Wellness and equipment, I do hereby waive, release and forever discharge Elect Wellness and its officers, agents, employees, representatives, executors, and all others from any and all responsibilities or liability for injuries or damages, including death and dismemberment, resulting from my participation in any activities in said program.
I understand the policies and procedures set forth by Elect Wellness and I have had the opportunity to discuss my specific needs in relation to participatory activity and, as a result, I do voluntarily request the right to participate in this preventive program of exercise. Also, in consideration of the above factors, I acknowledge the existence of risks in connection with these activities, assume such risks, and agree to accept the responsibilities for any injuries sustained by my participation in the course via the use of the facilities and/or its equipment.
Most specifically, I acknowledge and accept responsibility for injuries arising out of those activities which involve risk in any of the following areas: - The use of equipment - The performance of fitness-related evaluations to assess functional capacity - The participation in group activities related to exercise - Incidents that occur within the areas associated with Elect Wellness.
Any information provided is not intended to diagnose, treat, cure or prevent any type of disease or condition. If I have any medical condition or if I am taking any medications that requires special dietary restrictions, I must disclose said information to Elect Wellness and its officers, agents, employees, representatives, and executors.
I acknowledge that it was recommended that I consult with a physician before engaging in any activities associated with Elect Wellness. In addition, I acknowledge that my sessions may be audio recorded to monitor the quality of my training and ensure that Elect Wellness constantly delivers motivating, informative, and professional services.
Also, I recognize that any testimonies of my success that I provide to Elect Wellness will be used for future marketing purposes and may be presented in a variety of materials/mediums along with at least my first name or initial and/or last name or initial, according to my personal preference.
Having read the preceding, I acknowledge full understanding of those risks & quality control procedures set forth herein and knowingly agree to accept full responsibility for my own exposures to such risks & procedures, & to waive full responsibility and liability on behalf of Elect Wellness.
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