Loading...

General Waiver for All Participates in Physical Activity at Level II Fitness

General Participation Waiver:

This Waiver and Release Form is made as of the date written below by the individual(s) signing this form ("Participant") and provided to The BettPlex, LLC, a Minnesota limited liability company ("BettPlex"). The entire sports complex is owned by BettPlex and is known as TBK Bank Sports Complex (the "Facilities"). BettPlex also owns the fitness center which operates under the name of Level II Fitness and the family entertainment center which operates under the name of TBK Entertainment Center

I hereby assume all of the risks of participating in all activities at any of these facilities, including by way of example but not limited to any risks that may arise from: negligence or carelessness on the part of the persons or entities being released, dangerous or defective equipment or property owned, maintained or controlled by them, or their possible liability without fault. I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which could affect my participation in this activity. 

I acknowledge that this Waiver and Release of Liability will be used by the event holders, sponsors and organizers of the activity in which I may participate and that it will govern my actions and responsibilities at said activity. In consideration of my use of facilities or services provided at TBK BANK SPORTS COMPLEX, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:

A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The BettPlex, LLC (known as TBK BANK SPORTS COMPLEX and including TBK Entertainment Center) and its directors, officers, employees, volunteers, representatives, agents, activity holders, and sponsors;

B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in the above paragraph from any and all liabilities or claims made as a result of my use of these facilities, whether caused by the negligence of the Releases or otherwise. 

I acknowledge the TBK BANK SPORTS COMPLEX and its members, managers, employees, agents and contractors ("Releases") are NOT responsible for the errors, omissions, acts or failures to act of any person or entity conducting a specific activity. 

I acknowledge that this activity may involve a test of physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by facilities, temperature, weather, condition of participants, equipment, lack of hydration and actions of other people including, but not limited ot, participants, volunteers, coaches, parents, officials, umpires, referees, monitors, spectators and sponsors of any activity. These risks are not only inherent to participants, but are also present for volunteers and parents. 

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and/or illness during this activity.

I understand while participating in this activity, I may be photographed. I agree to allow my photo or video of my likeness to be used for any legitimate purpose by TBK Bank Sports Complex and its employees, agents and assigns.

POLICIES, RULES AND REGULATIONS: Your time at Level II Fitness is subject to compliance with policies, rules and regulations issued by Level II Fitness from time to time. No excessive dropping of weight plates or dumbbells will be tolerated. Level II fitness reserves the right to revoke any membership for failure to abide by policies, rules and regulations. If a membership is revoked any remaining time on membership will be terminated. If the member has paid for yearly membership in advance, a pro-rated amount for remaining months left on membership will be refunded to the member(s).

Age Restrictions Members aged 12 and 13 must be accompanied by a parent at all times while on the gym floor. Members aged 14 and 15 must either be accompanied by a parent or may work out independently after they have completed a Youth Fitness Orientation signed by a parent. Persons under the age of 12 are not permitted on the gym floor unless accompanied by a member of the Level II Staff. All non-members under the age of 16 are not allowed in the gym.

No Dropping Weights Avoid dropping or slamming weights to protect equipment and maintain a peaceful environment.

Re-Rack Weights and Equipment Return weights, dumbbells, and other equipment to their designated racks when finished.

Wipe Down Equipment Please clean equipment with provided sanitizing wipes after each use to maintain hygiene.

Respect Personal Space and Comfort Be considerate of others by giving them adequate space to exercise comfortably. Avoid behaviors like staring or lingering near someone that might make them feel uneasy. Our goal is to create a welcoming and safe environment for everyone.

No Food or Open Drinks Water and sports drinks are allowed in closed containers. No food on the gym floor.

Proper Gym Attire Required Wear appropriate athletic attire and closed-toe shoes at all times. Shirts must remain on while on the gym floor and posing without a shirt in front of mirrors is not allowed.

Report Malfunctions Immediately report any damaged or malfunctioning equipment to the staff. Service requests can be made through the app.

No Profanity or Disruptive Behavior Respect others by keeping language and behavior in check.

Personal Training by Staff Only Certified gym staff are permitted to provide personal training services and instruct group classes.

Share Equipment and Be Considerate If you are using multiple pieces of equipment, be mindful of others waiting and allow them to "work in" during rest periods. Communicate with fellow members to share machines when possible.

Limit Phone Use on Equipment Please be mindful of others waiting to use equipment. Avoid sitting on machines or benches while using your phone. If you need to take a break, kindly step away from the equipment to allow others to use it.

No Photos or Videos in Bathrooms For the privacy and comfort of all members, taking pictures or videos inside the bathrooms is strictly prohibited.

Tripod Usage Tripods are allowed during non-peak hours. They are NOT to be used on weekdays from 4:00pm-8:00pm and weekends from 8:00am-1:00pm. When using tripods, please ensure that they do not take up equipment, film other members unknowingly, or obstruct other members' experiences.


First Participants Name
First Name*
Last Name*
Phone*
First Participants Date of Birth*
Date of Birth
First Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
First Participants Signature*
Second Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Second Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Third Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Third Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Fourth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Fourth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Fifth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Fifth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Sixth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Sixth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Seventh Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Seventh Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Eighth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Eighth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Ninth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Ninth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Tenth Participants Name
First Name*
Last Name*
Phone*
Participants Date of Birth*
Date of Birth
Tenth Participants Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Participants Address:
Address *
State: *
Zip Code: *
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent/Guardian Email Address
Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
PARENTAL CONSENT: I am the parent or guardian of the minor named above, and I understand the nature of the above-referenced activities. I believe the minor is qualified to participate in activities at TBK Bank Sports Complex (including High 5 Lanes & Games and Level II Fitness) and verify that the minor has the appropriate experience and capabilities to participate in any activities. I hereby release, discharge, covenant not to sue and agree to defend and indemnify, save and hold harmless each of the Releasees from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise as provided above, Further, I agree that if, despite the release, I, the minor, or anyone on the minor's behalf makes a claim against any of the Releasees, I will defend, indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss liability, damage or cost any Releasees may incur as the result of such claim.


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/Guardian Name
First Name*
Last Name*
Relationship*
Phone*
Parent/Guardian Date of Birth*
Date of Birth
Parent/Guardian Information
Please check the boxes of the activities in which you will participate at Level II Fitness: *
Level II Membership
A.R.X. Performance
Group Classes
Athlete U
MAXX Group Training
Personal Training
Basketball
Pickleball
Soccer
Volleyball
Other
Parent/Guardian 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!