I undersigned am the parent or guardian of ("client") a minor under the age of 18 consenting here for the minor in my care to receive fitness services. First-person pronouns throughout this document will refer to me as the legal guardian representing the minor in my care.
I, the client's parent and or guardian, hereby agree that by signing this document, I consent to waive certain legal rights, including the right to sue the following party, and, if applicable, its owners, trainers, representative, and facilities from any physical, material, tangible or intangible loss or damages that may happen to me during my participation in any of the fitness services (hereinafter, “Fitness Services”) undertaken while under their instruction or thereafter: Atlas Weightlifting Club, LLC (the “Fitness Provider”).
I will be voluntarily participating in the Fitness Services that will be conducted by the Fitness Provider. These Fitness Services will include, but are not limited to the following:
Strength training, weight training, general fitness, Olympic Weightlifting, Powerlifting, resistance training, interval training, high intensity interval training
The following is the identifying and contact information for me, the client (“Client’):
Client Legal Name:
Client Date Of Birth:
The following is the identifying and contact information of the Fitness Provider:
Business Address: 329 South Lumpkin Street Monroe, GA 30655
Business Contact Number: 770-722-6771
My signature below indicates that I agree with and understand the following:
1. It is my responsibility to consult a physician before participating in this or any fitness program and I affirm that I have no medical condition that would restrict me from participating in any of the Fitness Services.
2. I agree to hold the Fitness Provider, and if applicable, its owners, trainers, and representative harmless from any damage, whether tangible or intangible, that may happen to me while participating in the Fitness Services. Such injuries may include but are not limited to, musculoskeletal injuries/pathologies, cardiovascular events, raised blood pressure, or even death.
3. I agree that the Fitness Provider offers the Fitness Services with no guarantee of results. I agree that I am solely responsible to maintain the diet and fitness regime appropriate for my level of health, and I agree that any results that occur, positive or negative, are the effects of my own personal choices.
4. I agree that participation in the Fitness Services is not a replacement for actual medical care and that if I do experience medical issues, I will contact my doctor immediately.
5. I agree and verify that all of the information that I have provided the Fitness Provider and its representative is accurate, up-to-date, and without omission of any known medical issues.
6. I agree and verify that if I have omitted any necessary personal or health/medical information, whether knowingly or unknowingly I will hold the Fitness Provider harmless against all liability for any damages that may occur to myself or to others because of my actions or inactions.
7. I agree to keep the Fitness Provider appraised of any changes or upcoming changes concerning my physical health, medical information, and personal information.
8. I understand and agree that it is my responsibility to let the Fitness Provider know if I find myself in any pain or discomfort before, after, or during the Fitness Services.
9. If I do require medical treatment or attention during or after participating in the Fitness Services, I agree that the medical costs are mine and mine alone and hold the Fitness Provider blameless from any charges, fees, or costs that I may incur.
This Fitness Services Waiver will bind and be enforceable against me and all of my personal representatives. I agree that this Fitness Service Wavier should be enforceable to the fullest extent of the law, and if any portion is held invalid, the remainder should continue in full legal force and effect.
I specifically acknowledge and agree that this document is not intended to be a general release, which would be limited under some state and local laws.
This Fitness Services Wavier shall be construed and interpreted as broadly as possible in the applicable jurisdiction.
ASSUMPTION OF RISK, I understand and am aware that my participation in the Fitness Services involves risks. These risks may lead to tangible or intangible harm, and I agree that they may result not only from my own actions but also from the actions of others. With the knowledge and understanding of these risks, I choose, of my own will and volition, to continue participating in the Fitness Services.
I am also aware that there are risks that I may not have considered, yet I waive my right to any claims that may occur from these unconsidered risks and I choose, of my own will and volition, to participate in the Fitness Services.
COVENANT NOT TO SUE. I will not start any lawsuit or other court action against the Fitness Provider, nor will I join any such proceeding, including any claim for money damages. I acknowledge and agree that I am entering a covenant not to sue the Fitness Provider in any capacity, including holding the Fitness Provider liable for any injury, loss, or damage sustained by me or my property, even if it is due to the Fitness Provider’s negligence or omission. I also waive the right of any of my insurers’ to make any such claim.
INDEMNIFICATION: I agree to defend and indemnify the Fitness Provider and any of its affiliates (if applicable) and hold them harmless against any and all legal claims and demands, including reasonable attorney’s fees which may arise from or relate to my use or misuse of the Fitness Services or my conduct or actions. I agree that the Fitness Provider shall be able to select its own legal counsel and may participate in its own defense, if desired.
REPRESENTATION: I am over 18 (eighteen) years of age, and certify the client is medically and physically able to participate in the Fitness Services.
GOVERNING LAW: This Fitness Services Waiver shall be governed by and construed in accordance with the internal laws of Georgia without giving effect to any choice or conflict of law provision or rule. Each party irrevocably submits to the exclusive jurisdiction and venue of the federal and state courts located in the following county (Walton County) in any legal suit, action, or proceeding arising out of or based upon this Fitness Services Waiver.
Parent/Guardian Signature