Loading...

DME Fitness Release of Liability Waiver

Release of Liability


This Release of liability agreement is entered into by and between DME Fitness LLC and  l _______________________________________, hereinafter referred to as “ releasor”


WHEREAS, releasor desires to utilize the services of DME Fitness LLC in monitoring an exercise program for releasor, and 


WHEREAS, the releasor understands that there are risks involved in such exercise programs or activity, and being aware of such risk, is willing to release DME Fitness LLC from any and all responsibility for injury or death resulting from such activity.


NOW, THEREFORE, in consideration of the mutual covenant and consideration herein given, the parties hereto agree as follows:


1. The releasor has been advised that there are inherent risks, including serious injury or death, 

Which may result from any exercise activity. Further, releasor has been advised and understands                 

he/she should obtain a physical examination prior to beginning any exercise program or activity.


2. In consideration or releasor’s release of liability given herein, DME Fitness LLC agrees to

Monitor and /or assist the releasor in his or her exercise program or activity. 


3. In consideration of DME Fitness LLC assistance, and understanding the risks involved, 

Releasor expressly herby releases DME Fitness LLC from any liability for injuries, death, or 

Damages to releasor, without limitation resulting from or arising out of the result of any 

Exercise program or activity in which DME Fitness LLC assists or Monitors releasor. 


4. Releasor further expressly agrees that any and all exercise activity in which he or she

Engages,  is done at his or her own risk. 


5. Releasor’s release of liability given herein shall be binding upon releasor’s heirs, executors or 

Administrators.


6. IN WITNESS WHEREOF, the parties hereto have entered into this release of liability agreement, the __________ day of _________________,20____



_____________________________                     _______________________

                       Email                             Phone Number



_______________________________ ______________

Client Signature                 Date 



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.
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!