Agreement of Release, Assumption of Risk and Waiver of Liability
This agreement is between Mega Energy In Motion, LLC, fitness instructor Melissa L. Bush, the Fitness
Instructors/Substitutes who may be conducting classes and the individual whose participating in the class (referred to as the participant).
I, ________________________(participant), hereby agree to the following:
1. I am participating in a Mega Energy In Motion, LLC fitness classes, the training, programs, exercises and events offered by fitness instructor, Melissa L. Bush. I recognize that all Mega Energy In Motion, LLC fitness classes require physical exertion that may be strenuous and may cause physical injury, including death. I am fully aware of the risks and hazards involved and that it is my responsibility to modify any movements to fit my limitations and level of conditioning.
2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in Mega Energy In Motion, LLC fitness classes. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in Mega Energy In Motion, LLC fitness classes.
3. In consideration of being permitted to participate in Mega Energy In Motion, LLC fitness classes, I voluntarily and knowingly agree to assume full responsibility for any risks, injuries or damages (known or unknown), property damage or loss of any kind in which I may incur as a result of participating in Mega Energy In Motion, LLC fitness classes and acknowledge my informed consent to do so.
4. In further consideration of being permitted to participate in Mega Energy In Motion, LLC fitness classes, I knowingly, voluntarily and expressly waive any claim I may have against the authorized Instructor(s) and facilities for any injuries or damages (known or
unknown), property damage or loss of any kind, including death that I may sustain as a result of participating in any Mega Energy In Motion, LLC fitness class with Melissa L. Bush, the facility, its agents and employees.
5. I grant Mega Energy In Motion, LLC and Melissa L. Bush, the right to take photographs of me, use my likeness, image, voice, or words in promotional material relating to the above-identified event or class. I authorize Melissa L. Bush, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Mega Energy In Motion, LLC and the instructor, Melissa L. Bush may use such photographs of me for any lawful purpose, including purposes as publicity, illustration, advertising, and web content.
6. I, my heirs and legal representatives forever Release, Hold Harmless, Waive, Discharge and Covenant not to sue Mega Energy In Motion, LLC and the instructor, Melissa L. Bush. This is a legally binding Release, Waiver, Discharge and Covenant Not to Sue (collectively “Release”) Mega Energy In Motion, LLC and the authorized Instructor for any injury, death, property damage or loss of any kind caused by my voluntary participation in any Mega Energy In Motion, LLC fitness class, by negligence or other acts. This Release, Waiver, Discharge and Covenant Not
to Sue is made voluntarily by me, the undersigned Releaser, on my own behalf, and on behalf of my heirs, spouse,
executors, administrators, and legal representatives.
7. I have read the above release, waiver of liability and assumption of risk, fully understand its contents and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability. I voluntarily agree to the terms and conditions stated above.
This agreement remains in effect for as long as I participate in any Mega Energy In Motion, LLC fitness classes, training, programs, exercises and events offered by instructor Melissa L. Bush.
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