I have signed up to participate in an exercise based program at Fast Track Health & Fitness located at 700 S. White Horse Pike, Somerdale, NJ 08083.
I hereby acknowledge that I should consult with my physician before beginning any exercise program. I acknowledge that I have either had a physical examination and have been given my physician's approval to participate, or that I have decided to participate in activity and use of equipment and machinery without the approval of my physician. I do hereby assume all responsibility for my participation and activities or utilization of equipment and machinery in my activities.
I certify that I am not aware of any medical condition which would render me unfit to participate in any exercise program and that I will inform Fast Track Health & Fitness immediately of any change in my medical condition.
I agree that if I experience symptoms such as shortness of breath, chest pain, unusual fatigue, dizziness or fainting, or extreme pain, whether or not I am under the direct supervision of my trainer, I will immediately stop exercising and inform a representative of Fast Track Health & Fitness of my symptoms.
I authorize any representative of Fast Track Health & Fitness to obtain emergency medical treatment for me, including transportation to a hospital or other medical facility.
I UNDERSTAND AND ACKNOWLEDGE THAT THERE ARE RISKS INHERENT IN ANY EXERCISE PROGRAM INCLUDING BUT NOT LIMITED TO HEART ATTACK, STROKE, ORTHOPEDIC INJURY, INJURIES CAUSED BY THE USE OF EXERCISE EQUIPMENT, WEIGHT LOSSS PRODUCTS, AND OTHERS. THESE INJURIES CAN OCCUR SUDDENLY AND WITHOUT WARNING, AND MAY RESULT IN DEATH. I AM VOLUNTARILY PARTICIPATING IN THIS TRAINING PROGRAM WITH KNOWLEDGE OF THE DANGERS INVOLVED, I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH AND AGREE TO HOLD HARMLESS ALL PARTIES INVOLVED WITH FAST TRACK HEALTH & FITNESS. I VERIFY THIS STATEMENT BY PLACING MY INITIALS ABOVE.
FOR AND IN CONSIDERATION OF PERMITTING ME TO PARTICIPATE IN THE PROGRAM, I, FOR MYSELF AND FOR MY HEIRS, BENEFICIARIES, AND PERSONAL REPRESENTATIVES, HEREBY RELEASE AND FOREVER DISCHARGE FAST TRACK HEALTH & FITNESS AND ITS OWNERS, DIRECTORS, OFFICERS, MEMBERS, MANAGERS, EMPLOYEES, AGENTS, SUBCONTRACTORS, LANDLORDS, ATTORNEYS, INSURERS, SUCCESSORS, AND ASSIGNS (COLLECTIVELY, “FAST TRACK HEALTH & FITNESS PARTIES”), FOR ANY AND ALL CLAIMS, DEMANDS, DAMAGES, LOSSES, LIABILITIES, RIGHTS, ACTIONS, CAUSES OF ACTION, EXPENSES, AND SUITS OF ANY KIND WHATSOEVER, FORESEEN OR UNFORESEEN, FOR PERSONAL INJURY, WRONGFUL DEATH, DAMAGE TO PROPERTY, OR OTHERWISE RESULTING FROM MY PARTICIPATION IN THE PROGRAM AND/OR THE ACTS OF OMISSIONS OF ANY OF FAST TRACK HEALTH & FITNESS PARTIES, INCLUDING ANY AND ALL NEGLIGENT ACTS, WHETHER ACTIVE OR PASSIVE, IRRESPECTIVE OR WHETHER SUCH INJURIES, DEATH, OR DAMAGES OCCUR DURING TRAINING OR THEREAFTER.
I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AT LEAST 18 YEARS OF AGE. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND FAST TRACK HEALTH & FITNESS AND I SIGN IT OF MY OWN FREE WILL.