Fitness Program Permission & Release
Please read and check the checkbox below:
I, have agreed to voluntarily participate in an exercise program (“Fitness Program”), including, but not limited to, strength training, flexibility development, and aerobic exercise, under the guidance of Amy Drake and Laura Taphorn (Tuesday, Wednesday, and Thursdays 6:00 - 6:45 AM) (hereafter referred to as Fitness Professionals) and on the La Salle High School campus. I hereby stipulate and agree that I am physically and mentally sound and currently have no physical conditions that would be aggravated by my involvement in an exercise program. I have consulted with a licensed physician who has permitted me to undertake a general fitness training program.
I understand and am aware that physical-fitness activities, including the use of equipment, are potentially hazardous activities. I am aware that participating in these types of activities, even when completed properly, can be dangerous. I agree to follow the verbal instructions issued by the trainer(s). I am aware that potential risks associated with these types of activities include, but are not limited to: death, fainting, disorders in heartbeat, serious neck and spinal injuries that may result in complete or partial paralysis or brain damage, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system, and serious injury or impairment to other aspects of my body, general health, and well-being.
I understand that I am responsible for my own medical insurance and will maintain that insurance throughout my entire period of participation with Fitness Professional and La Salle High School. I will assume any additional expenses incurred that go beyond my health coverage. I will notify the Fitness Professional and La Salle High School of any significant injury that requires medical attention (such as emergency care, hospitalization, etc.).
I will provide the equipment to be used in connection with the workouts, including, but not limited to, dumbbells, yoga mats, and similar items. I represent and warrant any and all equipment I provide for the exercise sessions is for personal use only. Fitness Professional and La Salle High School have not inspected my equipment and have no knowledge of its condition. I understand that I take sole responsibility for my equipment. I take sole responsibility to inspect any and all of my equipment prior to use.
Although Fitness Professional and La Salle High School will take precautions to ensure my safety, I expressly assume and accept sole responsibility for my safety and for any and all injuries that may occur. In consideration of the acceptance of this entry, I, for myself and for my executors, administrators, and assigns, waive and release any and all claims against Fitness Professional, La Salle High School and any of their staffs, officers, officials, volunteers, sponsors, agents, representatives, successors and assigns and agree to hold them harmless from any claims or losses, including but not limited to claims for negligence for any injuries or expenses that I may incur while exercising or while traveling to and from exercise sessions. These exculpatory clauses are intended to apply to any and all activities occurring during the time for which I have participated with Fitness Professional and La Salle High School.
I represent and warrant that I am signing this agreement freely and willfully and not under fraud or duress.
HAVING READ THE ABOVE TERMS AND INTENDING TO BE LEGALLY BOUND AND UNDERSTANDING THIS DOCUMENT TO BE A COMPLETE WAIVER AND DISCLAIMER IN FAVOR OF FITNESS PROFESSIONAL AND LA SALLE HIGH SCHOOL I HEREBY AFFIX MY SIGNATURE HERETO.