Waiver and Release
I hereby agree to participate in the exercise program given by SPENCER GEE WELLNESS CORPORATION, with the understanding and condition that:
I acknowledge that I have been advised of medical risks that may result from such participation, and that I have consulted my personal physician or other health authority and am physically capable of such participation without injury.
I have been specifically advised of special medical risks associated with participation in the SPENCER GEE WELLNESS CORPORATION program for individuals whose weight exceed recommended maximums, or whose age or general physical condition make illness or injury as a result of such participation more likely.
I recognize the risks of illness and injury inherent in any exercise program and am participating in the SPENCER GEE WELLNESS CORPORATION program upon the express agreement and understanding that I am hereby waiving and releasing SPENCER GEE WELLNESS CORPORATION from any and all claims, costs, court costs (herein, collectively “Claims”) arising out of my participation in SPENCER GEE WELLNESS CORPORATION programs or any illness or injury resulting there from, and hereby agree to indemnify and hold harmless SPENCER GEE WELLNESS CORPORATION from against any and all such Claims except Claims proximately caused by the gross negligence or willful misconduct of SPENCER GEE WELLNESS CORPORATION.
I hereby execute and deliver this waiver and release and willingly participate in the program.
SIGNATURE OF STUDENT____________________________________________
(If minor, signature of parent or guardian)
DATE ___________________
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