Loading...

Vine Fitness, LLC

441 Vine St.

Cincinnati, OH 45202

513-800-0260

WAIVER OF LIABILITY ASSUMPTION OF FULL RESPONSIBILITY FOR ALL RISKS OF BODILY INJURY, DEATH OR DAMAGES MEDICAL AUTHORIZATION

As a participant, or a parent or legal guardian of the child(ren) listed below, I hereby consent to my/his/her participation in one or more of the programs offered by Vine Fitness. I understand that participation in Group classes, fitness, working with weights, stretching, aerobic and anaerobic exercise, mere presencein the facility,as well asall other activities at Vine Fitness may result in unavoidable injuries including, but not limited to, muscle or other soft tissue strains, sprains and tears, broken bones, .and severe injuries such as paralysis or death from various causes, known and unknown, which include, but are not limited to, the heights of the equipment and body position during certain movements, rotation of the body, and movement of the body, in a unique environment. I acknowledge that I am fully aware of the inherent risks involved in the afore-mentioned activities.

In consideration for using, or allowing my child(ren) to use these facilities and be in the facility, I, on my own behalf and on the behalf of my child(ren) and our respective heirs, administrators, executors and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE  Vine Fitness its officers, directors, shareholders, employees, or agents from all liability for any and all damages or injuries suffered by myself or my child(ren) while under the instruction, supervision, or control of Bee Fit Health Club. I further understand that I have been instructed on the general use of the equipment and I will in good faith endeavor to instruct and supervise my children according to these instructions, per the manufacturer as it is listed on each piece of equipment.

In the event of an accident or emergency I would like myself or my child(ren) to be taken to a hospital for medical treatment and I hold Vine Fitness and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Vine Fitness, LLC. 

I have read and understand the ASSUMPTION OF RISK and WAIVER OF LIABILITY and MEDICAL AUTHORIZATION and I VOLUNTARILY affix my name in agreement. All children from one family on two lines below:

WAIVER AND RELEASE OF LIABILITY

I fully understand and acknowledge that recreational and fitness activities, have (a) inherent risk, dangers, and hazards and such exists in my use of any equipment and my participation in these activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that, could cause serious disability; (c) these risks and dangers may be caused by the negligence of the representatives, employees, or volunteers of Vine Fitness ("The Facility"), the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes; (d) by my participation in these activities and for use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages whether caused in whole or in part by the negligence or the conduct of the representatives, employees, or volunteers of The Facility, or by any other person.

I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify The Facility and it representatives, employees, and volunteers from any and all claims, actions or losses of bodily injury, property damage, wrongful death, losses of services or otherwise which may arise out of my use of any equipment or participation in these activities. I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the representatives, employees, and volunteers of The Facility.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO EXEMPT AND RELIEVE THE FACILITY FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

All sales are final at time of sale. No returns no refunds.

TANNING LIABILITY WAIVER

I recognize that precautions are necessary for safe tanning. I agree that I will comply with all instructions on the use of the UV tanning process, and that I am using these services at my own risk. I also agree to protect my vision by using the eye protection provided by the salon or by wearing my own eye protection. I will not hold Vine Fitness, its agents, owners, or employees liable for any injury to person or property caused in any way by the use of its services or its premises. Furthermore, I have been warned by a member of the staff that indoor tanning using UV bulbs is dangerous and can cause serious illness, injury, and skin disorders. Also, Vine Fitness  is not liable for the loss or theft of any personal property. Each person is responsible for safeguarding his or her own property. I also recognize and agree to follow Vine Fitness Tanning Rules and follow the proper guidelines of the tanning beds. I do realize that the Mega Bed is only supposed to be used for 6 minutes at a time according to manufacturers suggestions.

  1. Only actively enrolled members are allowed access during non-staffed hours of operation. No guests are allowed in the salon during non-staffed hours (this includes children, spouses, parents, etc.)
  2. Only one member at a time is allowed in a tanning room.
  3. Members agree to lock the room door after entering, and to leave the door unlocked and open when they are finished with their session.
  4. Members acknowledge that they have been shown the safe and proper usage of the equipment. They agree to use the equipment for its intended use.
  5. Members are expected to wipe down/sanitize the tanning surface after they use them (using the provided sanitizing spray and paper towels). Each member takes responsibility of verifying the cleanliness of the bed before they lay down to tan.
  6. Members agree to suntan only once per 24 hour period of time.
  7. Members are aware that surveillance cameras monitor the lobby, hallways, and parking area. They are aware that no cameras will have a view inside the private rooms. I agree in whole to all of the terms and conditions listed above and the Versa Tan membership rules.

SAUNA and STEAM LIABITITY WAIVER.  I recognize that precautions are necessary for safe practices of use of the sauna and the steam room. I agree that I will comply with all instructions on the use of the UV tanning process, saunas, and steam spa, and that I am using these services at my own risk. I also agree to protect my vision by using the eye protection provided by the salon or by wearing my own eye protection. I will not hold Vine Fitness, LLC, its agents, owners, or employees liable for any injury to person or property caused in any way by the use of its services or its premises. Furthermore, I have been warned by a member of the staff that the use of Sauna and steam is not reccommended without consulting my physicial first. This may be harmful to my health. I am aware that I am taking a guge rist if entering the sauna and the steam room while having pre-existing heart conditions, including any irregularity. I do not hold. Vine Fitness is not liable for the loss or theft of any personal property.

I release Vine Fitness, LLC. from any liabilty that happens to me and any minor that accompanies me. 




Copy anTODAY'S DATE: March 7, 2024 WAIVER OF LIABILITY ASSUMPTION OF FULL RESPONSIBILITY FOR ALL RISKS OF BODILY INJURY, DEATH OR DAMAGES MEDICAL AUTHORIZATION As a participant, or a parent or legal guardian of the child(ren) listed below, I hereby consent to my/his/her participation in one or more of the programs offered by Vine Fitness. I understand that participation in Group classes, fitness, working with weights, stretching, aerobic and anaerobic exercise, mere presencein the facility,as well asall other activities at Vine Fitness may result in unavoidable injuries including, but not limited to, muscle or other soft tissue strains, sprains and tears, broken bones, .and severe injuries such as paralysis or death from various causes, known and unknown, which include, but are not limited to, the heights of the equipment and body position during certain movements, rotation of the body, and movement of the body, in a unique environment. I acknowledge that I am fully aware of the inherent risks involved in the afore-mentioned activities. In consideration for using, or allowing my child(ren) to use these facilities and be in the facility, I, on my own behalf and on the behalf of my child(ren) and our respective heirs, administrators, executors and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE Vine Fitness, LLC, its officers, directors, shareholders, employees, or agents from all liability for any and all damages or injuries suffered by myself or my child(ren) while under the instruction, supervision, or control of Vine Fitness. I further understand that I have been instructed on the general use of the equipment and I will in good faith endeavor to instruct and supervise my children according to these instructions, per the manufacturer as it is listed on each piece of equipment. In the event of an accident or emergency I would like myself or my child(ren) to be taken to a hospital for medical treatment and I hold Vine Fitness and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Vine Fitness. I have read and understand the ASSUMPTION OF RISK and WAIVER OF LIABILITY and MEDICAL AUTHORIZATION and I VOLUNTARILY affix my name in agreement. All children from one family on two lines below: WAIVER AND RELEASE OF LIABILITY I fully understand and acknowledge that recreational and fitness activities, have (a) inherent risk, dangers, and hazards and such exists in my use of any equipment and my participation in these activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that, could cause serious disability; (c) these risks and dangers may be caused by the negligence of the representatives, employees, or volunteers of Vine Fitness, LLC ("The Facility"), the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes; (d) by my participation in these activities and for use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages whether caused in whole or in part by the negligence or the conduct of the representatives, employees, or volunteers of The Facility, or by any other person. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify The Facility and it representatives, employees, and volunteers from any and all claims, actions or losses of bodily injury, property damage, wrongful death, losses of services or otherwise which may arise out of my use of any equipment or participation in these activities. I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the representatives, employees, and volunteers of The Facility. I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO EXEMPT AND RELIEVE THE FACILITY FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. All sales are final at time of sale. No returns no refunds. TANNING LIABILITY WAIVER I recognize that precautions are necessary for safe tanning. I agree that I will comply with all instructions on the use of the UV tanning process, and that I am using these services at my own risk. I also agree to protect my vision by using the eye protection provided by the salon or by wearing my own eye protection. I will not hold Vine Fitness, its agents, owners, or employees liable for any injury to person or property caused in any way by the use of its services or its premises. Furthermore, I have been warned by a member of the staff that indoor tanning using UV bulbs is dangerous and can cause serious illness, injury, and skin disorders. Also, Vine Fitness is not liable for the loss or theft of any personal property. Each person is responsible for safeguarding his or her own property. I also recognize and agree to follow Vine Fitness Tanning Rules and follow the proper guidelines of the tanning beds. I do realize that the Mega Bed is only supposed to be used for 6 minutes at a time according to manufacturers suggestions. 1. Only actively enrolled members are allowed access during non-staffed hours of operation. No guests are allowed in the salon during non-staffed hours (this includes children, spouses, parents, etc.) 2. Only one member at a time is allowed in a tanning room. 3. Members agree to lock the room door after entering, and to leave the door unlocked and open when they are finished with their session. 4. Members acknowledge that they have been shown the safe and proper usage of the equipment. They agree to use the equipment for its intended use. 5. Members are expected to wipe down/sanitize the tanning surface after they use them (using the provided sanitizing spray and paper towels). Each member takes responsibility of verifying the cleanliness of the bed before they lay down to tan. 6. Members agree to suntan only once per 24 hour period of time. 7. Members are aware that surveillance cameras monitor the lobby, hallways, and parking area. They are aware that no cameras will have a view inside the private rooms. I agree in whole to all of the terms and conditions listed above and the Versa Tan membership rules.d paste the body of your waiver here.SAUNA and STEAM LIABITITY WAIVER.  I recognize that precautions are necessary for safe practices of use of the sauna and the steam room. I agree that I will comply with all instructions on the use of the UV tanning process, saunas, and steam spa, and that I am using these services at my own risk. I also agree to protect my vision by using the eye protection provided by the salon or by wearing my own eye protection. I will not hold Vine Fitness, its agents, owners, or employees liable for any injury to person or property caused in any way by the use of its services or its premises. Furthermore, I have been warned by a member of the staff that the use of Sauna and steam is not reccommended without consulting my physicial first. This may be harmful to my health. I am aware that I am taking a guge rist if entering the sauna and the steam room while having pre-existing heart conditions, including any irregularity. I do not hold. Vine Fitness is not liable for the loss or theft of any personal property.

I release Vine Fitness, LLC. from any liabilty that happens to me and any minor that accompanies me. 

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant'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.


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*

Relationship*

Phone*
Parent or Guardian's 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!