Waiver and Release of Liability 

Express Assumption of Risk: I, the undersigned, am aware that there are significant risks involved in all aspects of exercise and physical training. These risks include, but are not limited to: falls, which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner(s), or other people around me, and injury or death due to improper use or failure of equipment. I am aware that any of the risks associated with exercise and physical training may result in serious injury or death to myself. I willingly assume full responsibility for the risks to which I am exposing myself and accept full responsibility for any injury or death that may result from participation in any activity at, or administered by, The Age Coach.

I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger myself or others.

Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered and/or administered by The Age Coach, I, the undersigned, hereby release The Age Coach, its principals, agents, employees, volunteers and owners of the building and surrounding real property from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in any and all activities at, or administered by, The Age Coach and surrounding real property including those allegedly attributed to the negligent acts or omissions of the principals, agents, employees, and volunteers of The Age Coach.                                                                                                                                                                                                                                  

Indemnification: I, the undersigned, recognize that there are risks involved with, and understand these risks in, the activities offered at and administered by The Age Coach. I accept financial responsibility for any injury that I may cause either to myself or to any other participant while participating in any activity at, or administered by, The Age Coach or on the surrounding property. Should the principals, agents, employees, and/or volunteers of The Age Coach, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless The Age Coach, its principals, agents, employees, volunteers and the owners of the building and surrounding real property from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participation in activities offered at, or administered by, The Age Coach.

This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, and transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.

This agreement is governed by California Law and any disputes shall be resolved in Redding, Ca.

If I am signing on behalf of a minor child, I also give full permission for any person connected with The Age Coach to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

Medical Clearance

The Age Coach strongly recommends that all clients receive medical clearance from their physicians prior to participating in any exercise or physical training.                                                                                                                                                                                             

By signing below, I certify that to the best of my knowledge I have no medical conditions that may prohibit my safe participation in exercise at The Age Coach, and I assume and accept all risk and liability for any medical problems or injuries possibly arising from, or in any way associated with, any activity at, or administered by, The Age Coach.

Photography and Media release:

Participants involved in any activities offered by The Age Coach may be photographed and/or videotaped during any The Age Coach function, event and/or training. With this knowledge, I, the undersigned, hereby consents to the use of photographs and/or videos of myself, without compensation, on or in, but not limited to, The Age Coach website, any editorial, any promotional or advertising material produced and/or published by The Age Coach or on behalf of The Age Coach and including any other public media.

I have read and understood the foregoing assumption of risk and release of liability. I understand that, by signing this form, I am waiving valuable legal rights.

 
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If client is under 18: