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 Waiver and Release of Liability
Alphalete Gym LLC
711 Avenue E
Stafford, Texas 77477

 

In consideration for the license to utilize the exercise equipment and facilities located at 711 Avenue E, Stafford, Texas (the “Premises”) provided by Alphalete Gym Limited Liability Company, on behalf of itself and its subsidiaries and affiliates (collectively referred to as the “Company”), I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that the Company and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me, or my guest in, on, or about the Premises, or as a result of the use of the equipment or facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the Company. By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge the Company, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out the use of said equipment and the Company’s facilities. I expressly agree to indemnify and hold the Company harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me or my guest.

I agree to be solely responsible for safety and well-being of my guest and myself. I understand that the Company does not provide supervision, instruction, or assistance for the use of the facilities and equipment.

In the event I engage a personal trainer to provide me fitness and/or health training at the Premises, I acknowledge and understand that such personal trainer is not an employee or agent of the Company. I acknowledge the Company has not and does not review the exercise and/or fitness regime of any personal trainer at the Premises. I agree to be solely responsible for reviewing the credentials and qualifications of any personal trainer I utilize at the Premises. I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that the Company and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me, or my guest in, on, or about the Premises, or as a result of the use of the equipment or facilities, regardless of whether such injuries result, in whole or in part, from the negligence of any personal trainer utilized by myself or my guests. By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge the Company, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising of such personal trainer’s negligence. I expressly agree to indemnify and hold the Company harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me or my guest as result of such personal trainer’s negligence. 


I agree to comply with all rules imposed by the Company regarding the use of the facilities and equipment at the Premises. I agree to conduct myself in a controlled and reasonable manner at all times, and to refrain from using any equipment in a manner inconsistent with its intended design and purpose.

I understand and acknowledge that the use of exercise equipment involves risk of serious injury, including permanent disability and death.

I understand and agree that the Company is not responsible for property that is lost, stolen, or damaged while in, on, or about the Premises.

I HAVE READ THE FOREGOING WAIVER AND RELEASE OF LIABILITY AND VOLUNTARILY EXECUTED THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT.

 

First Your Name

First Name*

Last Name*
First Your Date of Birth*
I certify that I am 18 years of age or older
First Your Signature*
Second Your Name

First Name*

Last Name*
Second Your Date of Birth*
Second Your Signature*
Third Your Name

First Name*

Last Name*
Third Your Date of Birth*
Third Your Signature*
Fourth Your Name

First Name*

Last Name*
Fourth Your Date of Birth*
Fourth Your Signature*
Fifth Your Name

First Name*

Last Name*
Fifth Your Date of Birth*
Fifth Your Signature*
Sixth Your Name

First Name*

Last Name*
Sixth Your Date of Birth*
Sixth Your Signature*
Seventh Your Name

First Name*

Last Name*
Seventh Your Date of Birth*
Seventh Your Signature*
Eighth Your Name

First Name*

Last Name*
Eighth Your Date of Birth*
Eighth Your Signature*
Ninth Your Name

First Name*

Last Name*
Ninth Your Date of Birth*
Ninth Your Signature*
Tenth Your Name

First Name*

Last Name*
Tenth Your Date of Birth*
Tenth Your Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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