PORT TOWN FITNESS BUSINESS DISCLAIMER and RELEASE OF LIABILITY WAIVER
Participant Information:
Name: {name}
Address: {address}
Phone: {phone}
Email:
Emergency Contact: {contact_name}
Relationship to Participant: {contact_relation}
Phone: {contact_phone}
In consideration for being allowed to participate in the fitness activities and programs offered by PORT TOWN FITNESS located at 481 W. 6th St., San Pedro, CA 90731, phone: 424-536-3122, the undersigned participant agrees to the following terms and conditions:
1. Assumption of Risk:
I acknowledge that I am voluntarily participating in fitness activities, including but not limited to, exercise classes, training sessions, and the use of fitness equipment, which may involve physical exertion and carry inherent risks. I understand and assume the risks associated with these activities, including the risk of personal injury.
2. Release of Liability:
I hereby release, waive, discharge, and covenant not to sue PORT TOWN FITNESS, its owners, employees, agents, instructors, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of my participation in the fitness activities provided by the business. This release includes, but is not limited to, personal injury or damage to property caused by the negligence or fault of PORT TOWN FITNESS.
3. Acknowledgment of Risks:
I acknowledge and understand that participation in fitness activities involves inherent risks, including but not limited to the risk of personal injury, illness, or property damage.
4. Medical Condition Disclosure:
I acknowledge the importance of disclosing any medical conditions or concerns that may impact my ability to safely participate in fitness activities. I agree to inform the fitness instructors or staff of any changes in my health status.
5. Responsibility for Personal Health:
I affirm that I am in good physical condition and do not suffer from any medical condition that might limit my participation in these fitness activities. I agree to inform the fitness instructors or staff of any changes in my health status that may affect my ability to safely participate in the activities.
6. Compliance with Rules:
I agree to comply with all rules and guidelines provided by PORT TOWN FITNESS related to the use of facilities, equipment, and participation in fitness activities.
7. Photographic Release:
I grant PORT TOWN FITNESS the right to take photographs and/or videos of me during my participation in fitness activities. I understand that these photographs and/or videos may be used for promotional or marketing purposes, and I consent to their use without compensation.
8. Governing Law:
9. Membership Fees and payment processing
All memberships require a credit card on file to hold in case of non-payment. Monthly dues may be paid by debit/credit card with an added 3.9% processing fee. (This fee does not go to Port Town Fitness).
To avoid any processing fees, the Client has the option to pay by check, cash, Zelle, or ACH automatic direct deposit from their checking account.
This waiver and release shall be governed by and construed in accordance with the laws of the State of California.
10. PARENT / GUARDIAN WAIVER FOR MINORS
In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent/guardian, as follows:
I HEREBY CERTIFY that I am the parent or guardian of , named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent / Guardian Name:
Relationship to Minor
Date:
Port Town Fitness
