Loading...

MEMBER WAIVER AND RELEASE OF LIABILITY FORM

EXERCISE, EQUIPMENT AND CLASSES

All workouts, classes, use of weights, use of machinery (whether during a class or otherwise), and use of equipment and apparatus designed for exercising shall be at the member’s sole risk. The member understands that the decision to use exercise equipment, or selection of exercise programs, methods and types of equipment, shall be solely the member’s responsibility, and the Club shall not be liable to member for any claims, demands, damages or causes of actions due to injury to member’s person or property arising out of or in connection with the use by member of the services, facilities and/or premises of the Club regardless of whether the injury or damages were caused by the negligence of the Club, its employees or its agents. This waiver and release specifically applies to claims of negligent instruction and/or supervision that may arise as a result of injuries sustained during classes or personal training programs and the waiver and release applies regardless of whether the claimed injury was incurred on the premises or during an off-site class, program or event sponsored, promoted, organized or operated by Pierpont Racquet Club.

The Member executing this waiver and release of liability hereby agrees to indemnify and hold the Club harmless from all claims which may be brought against the Club by anyone listed in the membership agreement, any minor (under 18) listed in the membership agreement, any of member’s guests or on their behalf for any claims arising from injuries occurring at the Club’s facilities. The member also expressly agrees to be responsible for and reimburse any and all attorneys’ fees and legal costs incurred by the Club as a result of any such action.

The member also expressly acknowledges that by signing below he or she is relinquishing all rights he or she may have to sue the Club for injuries arising out of the use of the Club facilities or its services. This release is intended to be interpreted as broadly as allowed under California law.

GENERAL USE OF CLUB FACILITIES

It is expressly agreed that the use of all Club facilities (including but not limited to tennis courts, swimming pools, outdoor areas, parking lots, locker rooms, etc.), without limitation and whether engaging in exercise activities or not, shall be undertaken by a member at his/her sole risk. The Club shallnot be liable for any injuries, illnesses or other damages to any member, or the property of any member, or be subject to any claim, demand, damages or causes of action arising out of the use of, the presence upon, or in any manner occurring on, the Club’s premises regardless of whether it was caused by the negligence of the Club, its employees or its agents. It is agreed that this waiver and release agreement applies to any and all incidents occurring on the Pierpont Racquet Club premises, including slip or trip and fall incidents and illness or virus transmission, regardless of the cause or whether it was preventable.

The member also expressly acknowledges that by signing below he or she is relinquishing all rights he or she may have to sue the Club for injuries arising out of the use of the Club facilities or its services. This release is intended to be interpreted as broadly as allowed under California law.

First Member's Name

First Name*

Last Name*

Phone*
First Member's Date of Birth*
I certify that I am 18 years of age or older
First Member's Signature*
Second Member's Name

First Name*

Last Name*
Second Member's Date of Birth*
Third Member's Name

First Name*

Last Name*
Third Member's Date of Birth*
Fourth Member's Name

First Name*

Last Name*
Fourth Member's Date of Birth*
Fifth Member's Name

First Name*

Last Name*
Fifth Member's Date of Birth*
Sixth Member's Name

First Name*

Last Name*
Sixth Member's Date of Birth*
Seventh Member's Name

First Name*

Last Name*
Seventh Member's Date of Birth*
Eighth Member's Name

First Name*

Last Name*
Eighth Member's Date of Birth*
Ninth Member's Name

First Name*

Last Name*
Ninth Member's Date of Birth*
Tenth Member's Name

First Name*

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

Email*

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

Relationship*

Phone*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!