LIABILITY RELEASE FORM
This release is entered into between myself and Pamela Bennett Fitness LLC.
The purpose of Pamela Bennett Fitness LLC is to provide fitness and exercise instruction as well as nutrition coaching, counseling and instruction.
I hereby acknowledge that the following was explained to me and/or agree to the following:
1. Acknowledges that Pamela Bennett Fitness LLC is not a physician and is not trained in any way to provide medical diagnosis, medical treatment, psychotherapy, or any other type of medical advice.
2. Acknowledges that fitness training is another tool for teaching individuals about themselves, but that Pamela Bennett Fitness LLC does not guarantee neither good nor bad will occur nor guarantees the coaching advice given by Pamela Bennett Fitness LLC will produce neither good nor bad results.
3. Any publications, flyers, or promotional creations, including Boot camp Journals and Meal Plans, shall not be reproduced, duplicated, copied or photographed. These items are copyrighted as of February 2013. Any violation will be pursued and prosecuted in full.
3. Acknowledges that Pamela Bennett Fitness LLC may suggest exercise as part of my fitness program/lifestyle management. I further understand that by participating in boot camps, ZUMBA fitness, aqua aerobics, swimming, cycling (on and off road), in-line skating, triathlon, x-c skiing, weight training, aerobic classes, martial arts, kick boxing, kung-fu, and any other related sports are an extreme test of one's mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That I, assume all risks of participating in these types of events and/or activities, that I am fit, and that I have a regular medical physician that I can contact regarding any medical problems that I might develop. By signing this document, I expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind the Freestyle Fitness & Nutrition LLC facility, instructors, or any person involved in this program or testing procedures for me participating in said sporting events and/or training for said sporting/fitness activities.
4. I agree that this is the full agreement between
Pamela Bennett LLC and myself and that Pamela Bennett Fitness LLC nor anyone else has not verbally contradicted any of the terms of this release and that I have entered into this agreement free and voluntarily without force or coercion.
5. As a participant in any program with Pamela Bennett Fitness LLC, I understand that I have the privilege to utilize facilities not owned by Pamela Bennett Fitness LLC. If I have not signed a separate liability release for any one individual facility this liability release will serve in its place. I do not hold any outside facility liable for any circumstances that I experience. This includes, the Comfort Suites Hotel, Barrington Academy, Stockbridge Tae Kwon Do, Fairview Recreation Center, Johnson Park Recreation Center, Boundary Waters Aquatic Center, Highland Athletic Club and any additional facility not here mentioned.
PUBLICITY RELEASE: I grant Pamela Bennett Fitness LLC the right to photograph and/or videotape me and/or my child/ward and to use my and/or my child’s/ward’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials for the Activities without reservation or limitation.