WAIVER and RELEASE of LIABILITY
READ BEFORE SIGNING
In consideration of being allowed to participate in any way with Missy Enterprises LLC, DBA Missy’s Fitness at 1308 Home Avenue, the undersigned acknowledges and agrees that:
The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular instruction, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation.
I willing agree to comply with the stated and customary terms and conditions for participation; if however, I observe any unusual significant hazard during my presence or participation. I will bring attention to the nearest instructor/employee.
I, for myself and on behalf of my heirs assigns, personal representatives and next of kin, hereby release and hold harmless Missy’s Fitness, employees, other participants, lessors of premises used to conduct the programs offered, with respect to any and all injury, disability, loss or damage to person or property, whether arising from negligence or otherwise, to the fullest extent permitted by law.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it and freely and voluntarily without any inducement.
Consent and Release for Interview, Photographing, Videotaping, Testimonials and/or Website Use
The undersigned hereby authorizes and grants Missy’s Fitness, LLC, and their agents and assigns irrevocable license and permission to use my name, photograph, likeness, voice, testimonial and biographical material, in whole or in part, for publication or reproduction in any medium including but not limited to television, radio, print media and the Internet, among others, for any purpose, including but not limited to public relations, education, advertising, marketing, training and research. My consent extends to such use without restriction or limitation as to the time or geographic boundary.
I hereby waive all rights I have to any claims or demands for payment to royalties in connection with the use of any such materials, regardless of the purpose of such use or publication, and regardless whether a fee is charged or collected by Missy’s Fitness, LLC for any product and/or service in connection with such use and publication. I also waive any right to inspect, review or approve any photography, recording or other written material at any time, and waive the right to approve the use and medium publication determined by Missy’s Fitness, LLC.
I understand that Missy’s Fitness, LLC owns all rights in and to any such photograph, recording or testimonial, including any copyright and/or trademark relating to such use which Missy’s Fitness, LLC may be entitled to claim.
I declare that I am at least eighteen (18) years of age and am legally competent to execute this assignment and release, or that the written consent of my parent or guardian is affixed hereto.
I agree that I have read and understand the contents of this document, and have the right and authority to execute this document.