Adam’s Regimen Liability And Fitness Questionnaire


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Adam's Regimen/Healthy Rabbit ACCIDENT WAIVER & RELEASE OF LIABILITY FORM

 

Please read any waiver carefully. It includes a release of liability and waiver of legal rights and deprives you of the ability to sue certain parties. Do not agree to this document unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood the text presented to you. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement.

By indicating acceptance of this agreement and waiver, all signees understand that they are giving up substantial rights, including the right to sue. All signees acknowledge that they are signing the agreement and waiver freely and voluntarily, and intend by their acceptance to be a complete and unconditional release of all liability to the greatest extent allowed by law.

By indicating your acceptance, you understand, agree, warrant and covenant as follows: In consideration of your accepting my entry and presence, I, intending to be legally bound, do hereby, for myself, my heirs, executors, and administrators, forever waive, release and give up any and all claims, demands, liability, damages, costs and expenses of any kind whatsoever, including personal injuries to me or wrongful death against, Adam's Regimen/Healthy Rabbit restaurant, Brantford running series, it’s Owner(s), sponsors, volunteers, contractors, subcontractors and their employees, representatives, agents and heirs, which may arise from my participation in an part or whole of the asked duties or privileges given to me or while traveling to or from the event, even if caused in whole or in part by the negligence or other fault of the parties or person or persons I am hereby releasing, by the dangerous or defective condition of any property or equipment owned, maintained or controlled by them and/or because of their liability without fault. I FULLY UNDERSTAND I AM FOREVER GIVING UP IN ADVANCE ANY RIGHT TO SUE OR MAKE ANY CLAIM AGAINST THE PARTIES I AM RELEASING IF I SUFFER SUCH INJURIES AND DAMAGES EVEN THOUGH I DO NOT KNOW WHAT OR HOW EXTENSIVE THOSE INJURIES AND DAMAGES MIGHT BE AND AM VOLUNTARILY ASSUMING THE RISK OF SUCH INJURIES AND DAMAGES. I attest that I am physically fit and sufficiently trained for this strenuous, or stressful work or competition. I will assume my own medical and emergency expenses in the event of an accident or other incapacity or injury resulting from or occurring in my participation.

  1. Authority to Register and/or to Act as Agent.

If you are registering a child under the age of 18 or an incapacitated adult you represent and warrant that you are the parent or legal guardian of that party and have the legal authority to enter into this agreement on their behalf and by proceeding with this registration, you agree that the terms of this Agreement and Waiver shall apply equally to all Registered Parties. By registering a child under 13, you agree and consent to the collection of that child's information which you provide for the purposes of registration.

  1. Waiver. YOU UNDERSTAND THAT PARTICIPATION IS POTENTIALLY HAZARDOUS, AND THAT A CLIENT SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE. YOU UNDERSTAND THAT PERSONAL TRAINING MAY BE HELD OVER PUBLIC ROADS AND FACILITIES OPEN TO THE PUBLIC DURING WORKOUT AND FITNESS SESSIONS AND GENERAL EVENTS UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THIS, YOU AND ANY PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Adam's Regimen/Healthy Rabbit restaurant, Brantford running series, it’s Owner(s), sponsors, volunteers, contractors, subcontractors and their employees, representatives, agents and heirs FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION.

Severability. You further expressly agree that this Agreement and Waiver is intended to be as broad and inclusive as is permitted by the law of the Province of Ontario and that if any provision of this Agreement and Waiver shall be found to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and Waiver and shall not affect the validity and enforceability of any remaining provisions.

 

  • agree that I am voluntarily participating in personal training sessions and I am not being mandated or forced to do so.

 

  • acknowledge that I am aware of the possible injuries of working in a gym or using the exercise equipment, provided by Adam's Regimen/Healthy Rabbit, hereby release the restaurant and it’s Owner(s)/Agent(s) from any liability now or in the future for any injuries that I may attain while exercising at the Healthy Rabbit or with it’s equipment, respectively. Injury may include but not be limited to muscle spasms, burns, heart attacks, broken bones, bruises and fall related injuries and other injuries which may but are not limited to even death.

 

  • acknowledge that the Adam's Regimen/Healthy Rabbit is not responsible for my personal items (possessions) at the workout facility which could be shared between multiple clients and am aware that I am responsible for my own equipment/belongings.

 

 

Terms and Conditions:

 

  1. All Jewellery is to be removed before any activity or worn at the volunteers own risk.
  2. It is Understood that the Adam's Regimen will collect information such as email and other personal information for the purposes such as schedules, activities and programmes that participants may choose to take part in.
  3. All participants are responsible, solely, for his/her own well being
  4. I permit Adam's Regimen to use and publish photographs and/or video recordings that I choose to participate in for the purposes of presenting recreational activities to the community and to promote the program to new clients for training. I also give permission for such photographs and/or videos to the news media or YouTube in support of the Adam's Regimen and it’s programs.

 

 

BY INDICATING YOUR ACCEPTANCE OF THIS AGREEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

 

 

 

 


FITNESS QUESTIONNAIRE