Classes/ PT

Release of Liability Waiver

10994 Overseas Highway

Marathon, FL 33050

Assumption of Risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. The risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while under directions of Keys Strength & Conditioning, Inc. Furthermore, I understand there are inherent risks in all aspects of physical training and I acknowledge that I have been informed of the possible strenuous nature of functional training and the potential for undesirable physiological results including, but not limited to, abnormal blood pressure, rhabdomyolysis, muscle soreness and fainting.

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Release of Liability: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at Keys Strength & Conditioning, Inc. I, the undersigned hereby release Keys Strength & Conditioning, Inc., their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with Keys Strength & Conditioning, Inc. to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

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Indemnification: The participant recognizes that there is risk involved in the types of activities offered by Keys Strength & Conditioning, Inc. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above-mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless Keys Strength & Conditioning, Inc., their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Keys Strength & Conditioning, Inc.

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Release of Media: For promotional purposes, I give Keys Strength & Conditioning, Inc. authorization to use, post on the website, or social networking sites, photos and other forms of media/film production taken of me from the workout sessions associated with and while at the premises of Keys Strength & Conditioning, Inc.

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I have read and understand the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

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September 26, 2023

First Participant's Name

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First Participant's Date of Birth*

First Participant's Signature*

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Second Participant's Name

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Second Participant's Date of Birth*

Third Participant's Name

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Third Participant's Date of Birth*

Fourth Participant's Name

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Fourth Participant's Date of Birth*

Fifth Participant's Name

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Fifth Participant's Date of Birth*

Sixth Participant's Name

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Sixth Participant's Date of Birth*

Seventh Participant's Name

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Seventh Participant's Date of Birth*

Eighth Participant's Name

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Eighth Participant's Date of Birth*

Ninth Participant's Name

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Tenth Participant's Name

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Tenth Participant's Date of Birth*

Parent or Guardian's Email Address

Email*

Confirm Email*

Health Assessment (YES or NO)

Emergency Contact

First Name*

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Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant

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*

Parent or Guardian's Signature*

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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.