Register for Class
REGISTER FOR CLASS
Be advised there is always a risk of injury when engaging in a physical exercise program. If you have been treated or are currently being treated by a physician for any health condition(s) and/or if you have not had a physical exam in more than a year it is highly recommended that you seek approval from your physician before engaging in any exercise program.
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Waiver and Release of Liability
THE UNDERSIGNED voluntarily wish to participate in the Fitness classes at Greenock United Methodist Church located in Greenock, PA. I have been advised by the fitness trainer(s) of the importance and/or need of a current physical exam and of the risk of injury when participating in an exercise program. By voluntarily participating I hereby REPRESENT and WARRANT that I am physically capable of participating in the program and that I am not aware of any physical illness or condition that could increase my risk of injury during such participation. I understand there are risks of injury associated with participation, I am aware of the risks inherent in any exercise/health program, including but not limited to severe personal injury and death. I understand that through my participation, I am subject to possible injury, and also understand that by my participation, I accept the risk of possible injury.
THE UNDERSIGNED AGREES to indemnify and hold harmless Dana Sandmeyer, the instructor, Greenock United Methodist Church, the Pastor of Greenock United Methodist Church, The United methodist General Conference, the Council of Bishops and the Judicial Council and all officers, agents and employees of each of them, from any and all liability for personal injuries (including death) and property damage occasioned by or in connection with any work or activity I perform or engage in on parish property.
As additional consideration, I for myself, my heirs and my legal representatives, RELEASE AND FOREVER DISCHARGE Dana Sandmeyer, the instructor, the Pastor of the United Methodist Church
General Conference, the Council of Bishops and the Judicial Council and legal representatives, and all officers, agents and employees of each of them, of and from ANY AND ALL CLAIMS, DEMANDS, RIGHTS, AND CAUSES OF ACTION OF WHATEVER KIND AND NATURE, arising from, and by reason of any and all known and unknown, foreseen and unforeseen personal injuries (including death) and property damages that I may sustain as a result of or in any way related to any work I perform or activity I engage in on parish property.
By signing the box below, I declare that I have read and understand the above WAIVER AND RELEASE.
Enter /s/ followed by your name to sign that you agree to the above Waiver and Release *
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