I, the undersigned, hereby acknowledge and understand that participation in fitness classes and related activities conducted by Raniqua Gooden and GME Wellness involves certain risks and potential dangers. By signing this waiver, I voluntarily agree to participate in the class and assume all risks associated with my participation.
Participant Information:
- Full Name: _______________________
- Age: ___________________
- Phone Number: _________________
- Emergency Contact: [Name and Phone Number] ______________________________________
Assumption of Risk:
I acknowledge that I am voluntarily participating in the fitness class(es) provided by Raniqua Gooden and GME Wellness. I understand that physical exercise, by its very nature, carries with it certain inherent risks, including but not limited to physical injury, strain, discomfort, and even the possibility of serious injury or death. I hereby assume all risks and responsibility for any such injuries or other medical incidents.
Waiver and Release:
I hereby release, waive, discharge, and agree not to sue the Raniqua Gooden and GME Wellness, its employees, representatives, affiliates, or agents from any claims, demands, liabilities, rights, damages, expenses, and causes of action of any nature arising out of or in connection with my participation in the fitness class(es), whether caused by the negligence of Raniqua Gooden and GME Wellness or otherwise.
Medical Representation:
I represent that I am physically fit to participate in the fitness class(es) and have no medical condition that would prevent my safe participation. If I have any medical conditions or concerns, I have consulted with a healthcare provider and obtained clearance to participate.
Consent to Medical Treatment:
I hereby consent to receive any necessary medical treatment resulting from my participation in the fitness class(es) and agree to bear all costs associated with such treatment.
Photography and Video Release:
I hereby grant permission to Raniqua Gooden and GME Wellness to take and use photographs and videos of me for promotional purposes without compensation.
Acknowledgment:
I have read this Fitness Class Waiver, understand its contents, and agree to be bound by its terms. I understand that based on the above that I am releasing Raniqua Gooden and GME Wellness from any legal liability.
Print Name:__________________ Signature: ___________________
Date: ______________
Parent/Guardian Signature (if under 18): _______________________________
Date: _______________
[Raniqua Gooden-GME Wellness- Wellington, FL 33449]