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Welcome to

TA FITNESS, LLC

Where fitness doesn't have to be boring!

 


I, (Stated Below) , hereby accept all risks associated with my participation in fitness exercise
programs being offered by TA Fitness (TAF). In consideration of using the services of TAF, I
release and forever discharge TAF, their employees, including trainers and any other officers,
agents or volunteers (“RELEASEES”) from any and all responsibilities or liability from injuries or
damages to my person or personal property resulting from or connected with my participation in
any of the fitness exercise programs being offered by RELEASEES whether arising from the
active or passive negligence of RELEASEES or otherwise.
1. I acknowledge and fully understand that I will be engaging in exercise and training
activities that potentially involve the risk of serious injury, permanent disability or death. Other
possible risks may include social and economic losses which might result not only from the
RELEASEES own actions, inactions or negligence, but the actions, inactions, or negligence of
others, the condition of the private or public premises or any equipment. Further, that there may
be other risks not known or not reasonably foreseeable at this time. I hereby assume full
responsibility for all the foregoing risks, known and unknown, and accept responsibility for the
damages following any injury, permanent disability, or death.
2. I further acknowledge and understand that TAF, its personal trainers and other
employees are not licensed dietitians or physicians and that any information or guidelines
provided by TAF, its personal trainers or other employees carries no warranty of any kind,
expressed or implied, including, but not limited to, warranties regarding safety or suitability for a
particular purpose.
3. TAF and its employees will implement the most effective principals to help the
participant achieve his or her goals within their scope of practice, but cannot guarantee that its
products or workouts will be safe, effective or suitable for everyone. For that reason, all such
products, services, programs, techniques and materials embodied in such products and
services, are offered without warranties or guarantees of any kind, expressed or implied, and
TAF and its employees disclaim any liability, loss or damages that may result from their use.
4. I understand that a physician’s approval is highly recommended prior to participating
in any fitness exercise program.
5. I have read this document in its entirety and agree to adhere to all its precepts, as well
as all other terms and conditions of TAF’s fitness exercise programs. I understand the risks and
benefits of the programs and any questions I may have had have been answered to my
satisfaction. Upon participation, I do hereby discharge, release and hold harmless TAF, their
employees, including trainers and any other officers, agents or volunteers from any and all
liability for damage claims or losses of any kind or character whatsoever resulting from any
injury or condition I may suffer, or resulting from my participation in TAF’s fitness exercise
programs.
6. This agreement applies not only to any and all physical injuries but to any and all
claims from the damage to, loss of, or theft of property relating to my participation in TAF’s
fitness exercise programs.
7. This agreement is intended to be broad and inclusive and shall be governed by and
construed in accordance with the laws of Massachusetts . If any portion of this agreement is
held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and
effect.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Name Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or 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 Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Name Date of Birth*
Parent or Guardian's Name 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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