Extreme Fitness of Florence (CF 157) strongly recommends that you clear your participation in an exercise program with your physician. The protocols of fitness programs may involve you in relatively high intensity workouts and it is important you understand the following.
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I recognize and understand participation in a fitness program at a fitness facility are not without varying degrees of risk, which may include, but not limited to: Injury to the musculoskeletal and/or cardio respiratory systems, which can result in serious injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure.of equipment, or injury or death due to a medical condition, whether known or unknown by me.
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I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in the training program and accept full responsibility for any injury or death that may result from my participation.
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I hereby certify that I know of no medical problems that would increase my risk of illness and injury as a result of participation in a fitness program at Extreme Fitness of Florence. I understand there exists the possibility of adverse physical changes during an exercise program, I fully understand that these changes could include abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instances, heart attack or death. I understand that certain prescribed medications may exacerbate these physiological changes and create an even greater risk of physical damage or death.
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With my full understanding of the above information, I agree to assume any and all risks associated with my participation in the fitness program.
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In full consideration of the above mentioned risks and hazards, and in full consideration of the fact that I am willingly and voluntarily participation in the activities made available by Extreme Fitness of Florence, and with my full understanding of all of the above, I hereby waive, release, remise and discharge Extreme Fitness of Florence, and its agents, officers, principals, employees, and volunteers, or any and all liability, claims, demands, action or rights of actions, or damages, of any kind related to, arising from, or in any way connected with my participation in the exercise program. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
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I have fully read and fully understand the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties names for any liability for injury or death of any person and damage to property caused by my negligent or intentional act of omission. I understand that by signing this form I am waiving valuable legal rights.
Thanks for choosing Extreme Fitness of Florence and CF 157!