Bodi Shak LLC

Waiver and Release of Liability Form

I, the undersigned, acknowledge a full understanding of the inherent dangers and risks associated with the use of this facility located at 4704 N. Broadway Chicago, IL 60640 (hereinafter the "Facility") and/or any fitness/wellness activity occurring therein or in any way affiliated with Bodi Shak, LLC, Bodi Shak and/or Andrew A. Coke (collectively hereinafter "Bodi Shak").

I acknowledge it is recommended that I seek approval from my physician before implementing an exercise regimen, as there may be significant health risks associated with exercising. I also understand that injury or death may result from the same.

I understand that in the event of accident or injury, personal judgement may be required by Bodi Shak employees, agents, representatives, or volunteers regarding what actions should be taken on my behalf. Nevertheless, I acknowledge that Bodi Shak and/or by Bodi Shak personnel may not legally owe me a duty to take any action on my behalf. I also understand that it is my responsibility to secure personal health insurance in advance, if desired.

I declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in any fitness/wellness activity. I acknowledge that I have either had a physical examination and have been given a physician’s permission to participate in all of the activities offered at Bodi Shak, or I have decided to participate in these activities without the approval of my physician and at my own risk.

I understand that the activities, facilities, programs, and services offered by Bodi Shak may sometimes be conducted by persons who may not be knowledgeable, licensed, certified or registered instructors or professionals. I accept the fact that the skills and competencies of some Bodi Shak employees, agents, representatives, or volunteers will vary according to their training and experience and that no claim is made to offer assessment or treatment of any mental or physical disease or condition by those who are not duly licensed, certified or registered and employed to provide such professional services.

In consideration for being permitted to participate in this program, and because I assume all risks involved, I hereby agree that I am responsible for any resulting personal injury, damage to or loss of my property which may occur as a results of my participation or arising out of my participation in any activity offered by Bodi Shak or any activity occurring at the Facility.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless Bodi Shak, its officers, officials, affiliates, agents, contractors and/or employees (“Releasees”) from any and all claims, demands, damages, rights of action or causes of actions, present or future, arising out of my use or occupancy of the Facility or any activity occurring therein, including any injuries arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law. I further state that I am at least eighteen (18) years of age and fully competent to sign this document; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS CONSENT AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST BODI SHAK LLC FOR ANY INJURY SUSTAINED.