Please Read the Health and Fitness Liability Waiver below and sign where indicated at the bottom of the page.
Health and Fitness Liability Waiver /Informed Consent Form
I (as an adult participant and/or the responsible party for any minor participants) am registering for the It’s a Family Affair Community Block Party hosted by the Alpha Kappa Alpha Sorority, Inc. – Alpha Mu Omega Chapter, Studio G, Liberation West and the Top Ladies of Distinction, Inc. Indianapolis Chapter (hereafter referred to as HOSTS) at Lafayette Square Mall in Indianapolis, IN.
I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program.
I acknowledge that my enrollment and subsequent participation is purely voluntary and is in no way mandated by the hosts.
By registering for this event and signing this waiver, I hereby release the HOSTS and its agents from any claims, demands, and causes of action as a result of my voluntary participation in It's a Family Affair Community Block Party at Lafayette Square Mall in Indianapolis, IN.
I fully understand that I may injure myself as a result of my enrollment and subsequent participation in this program and I hereby release the HOSTS and its agents from any liability now or in the future for conditions that I may obtain. These conditions may include, but are not limited to, heart attacks, strokes, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, injuries to knees or other joints of the body, injuries to back, injuries to a foot, heat prostration, or any other illness or soreness that I may incur, including death.