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BeHealthConscious LLC. Client Waiver


You agree, by electronic confirmation to not hold BeHealthConscious liable for any injuries, or accidents that occur at BeHealthConscious facility. You also agree to use facility at your own risk and will not hold BeHealthConscious liable for damages sustained from group classes, sports classes, open gym, car theft, personal trainers and staff.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Behealthconscious LLC. (“BeHealthConscious Sports|Fitness”) has put in place preventative measures to reduce the spread of COVID-19; however, Behealthconscious LLC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Behealthconscious LLC could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Behealthconscious LLC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Behealthconscious LLC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Behealthconscious LLC employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance Behealthconscious LLC. or participation in Behealthconscious LLC. programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Behealthconscious LLC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Behealthconscious LLC., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any BeHealthConscious program.

Liability Waiver

I, the undersigned, understand that any exercise program, including but not limited to aerobic, anaerobic, flexibility, and strength exercises, whether equipment is used or not, whether indoors or outdoors, involves potentially hazardous activities that may result in injury or even death. I am voluntarily participating in these activities, and using equipment and facilities, with full knowledge of the dangers involved. I expressly assume and accept any and all risks associated with my participation.

I am aware of my own health and physical condition. I hereby affirm that I am in good physical condition and do not suffer from any mental or physical disability, condition, disease, impairment, or other illness which would prevent or limit my participation or use of equipment. I represent that I have either had a physical examination and have been given my doctor’s permission to participate, or that I have decided on my own free will, with full understanding and assumption of the risks involved, to participate and use equipment without my doctor’s approval.

I agree to disclose any mental or physical disability, condition, disease, impairment, or other illness which may affect my ability to participate in, or use equipment for, any exercise program or activity.

In consideration of my participation, in addition to the payment of any fee or charge, I, on behalf of myself and my heirs, assignees, guardians, and legal representatives, hereby release BeHealthConscious, its trainers, employees, officers, directors, contractors, successors, agents, and representatives from any and all claims, demands, and causes of action for injury, damage or death arising from my participation in any exercise program or activity. I also agree to be photographed or placed on video at any given time and be used for promotional purposes. I also will not hold gym liable for any misinformation given about health, workouts, nutrition, and diet.

I HAVE READ THE TERMS ABOVE AND INTEND TO BE LEGALLY BOUND THEREBY. BY SIGNING THIS AGREEMENT, I INTEND FOR MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF LIABILITY TO THE FULLEST EXTENT ALLOWED BY LAW.



First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First 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.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

Last Name*

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.


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