Loading...

Acknowledgment and Acceptance of All Risks: I understand that participating in any exercise activity, program or service (including, but not limited to Personal Training, Weight Training, Pilates, Yoga, Chiropractic Care, Physical Therapy, Nutritional Guidance and Personal Chef Service) involves the risk that I may suffer serious physical injury, death or other damage. I understand and agree that I am voluntarily participating in any and all exercises, activities, classes and programs at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF or off-site and that I am assuming all risk of injury, medical condition, illness, death, and/or loss or damage to personal property that arises out of my participation in any activity or program at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF whether using the exercise equipment or not. I further understand and agree that this acknowledgement and acceptance of all risks includes my participation in any exercise, activity, class or program made available to me in the future.

 

Acknowledgement and Assumption of the Risk Relating to COVID-19: I understand that FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF has put in place preventative measures to reduce the spread of COVID-19; however, the FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF cannot guarantee that I or members of my household will not become infected with COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I or members of my household may be exposed to or infected by COVID-19 while on the premises of FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF may result from the actions, omissions, or negligence of myself and others, including, but not limited to, FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF employees, independent personal trainers, and other individuals using the premises. [With respect to COVID-19 I expressly acknowledge and agree that I am responsible for providing my own personal protective equipment and to follow CDC guidelines on safe social distancing. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.]

 

Release and Waiver of Liability: In consideration of the use of the premises and equipment at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF, and of the services provided to me by FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF, I agree on behalf of myself, my personal representatives, heirs, executors, administrators, agents, successors and assigns to forever RELEASE AND DISCHARGE FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF from any and all liabilities, claims, demands, or causes of action that I may hereafter have for injuries, death or damages that result from personal injury or damage to or loss of personal property arising out of or in any way connected with, my use of any FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF facilities, or my participation in any exercise activity, program or service at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF or off-site whether using the equipment or not. This Waiver and Release includes, but is not limited to, claims arising from injury, death or damage caused by the passive or active negligence of FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF, improper maintenance of equipment by anyone, use or purchase of any exercise equipment which may malfunction or break, consumption or purchase of any food or beverages sold on site, negligent instruction or supervision on the part of FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF, my slipping and falling in and around the FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF premises, risk of infection from COVI-19 (whether a COVID-19 infection occurs before, during, or after participation in any activity at FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF), and/or hidden, latent, or obvious defects of any FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF equipment. I also expressly agree to release and discharge FIT CLUB KELLY’S COVE, LLC DBA MUSCLE BEACH SF from any act or omission in rendering or failing to render any type of rescue, emergency or medical services to me.


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!