Fit 2 Motivate

Waiver and Par Q Form

                                                            FITNESS CONSENT/WAIVER FORM

 THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS.  READ IT CAREFULLY!

 You, the Member, are aware that there are risks associated with participating in Fitness activities and exercise.  Your participation is completely voluntary, and you freely accept and fully assume all responsibility for all risks, and all possibilities of personal injury, death, property damage or loss to yourself or any other person as a result of your participation in fitness activities.  You and your heirs, next of kin, executors, administrators and assigns agree:

a)     to waive all claims, known or unknown, that you have or may have in the future against Fit2Motivate, including the owner, employees, volunteers, and site property owners or lessees (the "organization");

b)     that Fit2Motivate is not liable or resonsible for any damage to, loss or theft of your property;

c)     to release and forever discharge Fit2Motivate from all liablility for any personal injury, death, property damage or loss resulting from your participation in fitness activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imosed by law, breach of contract or mistake in error of judgement of Fit2Motivate; and

d)     to be liable for and to hold harmless and indemnify Fit2Motivate from all actions, proceedings,  claims, damages, cost demands, including court costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with your participation in fitness activities.

 

 

___________________________________________________________________

PRINT NAME ABOVE

 

___________________________________________________________________

 

___________________________________________________________________

PRINT ADDRESS ABOVE

 

EMAIL ADDRESS: _____________________________________________________

 

PHONE NUMBER: _____________________________________________________

 

I have read this waiver, understand it and sign voluntarily.

 

Signed and witnessed at _________________________, Alberta on this __________

day of ________________ 2016.

 

 

 _________________________________         _______________________________

PARTICIPANT SIGNATURE                                     WITNESS SIGNATURE

 

 

 * Please consult your physician prior to starting an exercise or fitness program with Fit2Motivate

 

 

PAR Q FORM