I request authorization for use of the Gym/Exercise Facilities (“Silverback Strength Club”) located at 318 E Broadway St, Covington Ohio 45318. I acknowledge that the use of the Gym is expressly conditioned on my agreement to each of the terms of this document. I acknowledge and agree as follows:
- Use of the gym involves physical exercise, sport and recreational activities that may cause injury. I understand that there is inherent risk of injury when choosing to participate in any physical exercise, sport, wellness, and/or recreational activities. My use of the Gym and participation is a voluntary activity in all respects and I assume all risks of injury and illness that may result from such use and participation.
- I understand that it is my responsibility to consult with a physician prior to and regarding my use of the Gym. I am knowledgeable about the proper use of any equipment that I will use and the rules of any activities that I will participate in and that I will carefully read the operating instructions for any Gym equipment prior to use and will operate such equipment in strict accordance with instructions. I represent and warrant that I am physically fit and I have no medical conditions that would prevent my use of the Gym. However, I represent and warrant that if a medical condition should arise that would affect my use of the gym, I will let the designated employee(s) or Contractor(s) know, as appropriate. I understand that the information I provide to Silverback Strength Club and/or Contractor(s) about my health, treatment, care, medical history and/or fitness shall be treated as strictly confidential.
- I agree to follow the instructions of each particular Contractor and any designated employee during the course of my use of the Gym, and to abide by Silverback Strength Club’s security, safety and office decorum policies and procedures at all times during my use of the Gym.
- I understand and agree that my failure to abide by the rules and directives of Silverback Strength Club or any Contractor(s) while I am using the Gym may result in the termination of my participation.
- I do hereby fully release and discharge Silverback Strength Club and its past and present agents, employees, representatives, officers, directors, attorneys, accountants, trustees, shareholders, investors, subsidiaries, partners, affiliates, members, insurers, heirs, predecessors-in-interest, advisors, successors and assigns, as well as all Contractors (collectively, the “Released Parties”) from any and all liability, claims, and causes of action from injuries or illness (including death), damages or loss which I may have or which may accrue to me on account of participation in all activities utilizing the Gym. This is a complete and irrevocable release and waiver of liability. Specifically, and without limitation, I hereby release the Released Parties from any liability, claim, or cause of action arising out of the Released Parties’ negligence. I covenant not to sue the Released Parties for any alleged liabilities, claims, or causes of action released hereunder.
- I understand that the Released Parties are not responsible for any loss or theft of personal property brought to or left in the Gym, fitness room and/or lockers and I release Silverback Strength Club from any liability for such loss or theft.
- In the event of an emergency, I authorize Silverback Strength Club as well as all Contractors, to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services rendered.
- I understand and agree to adhere to the Silverback Strength Club Gym policy and rules, which are available for review per Christopher Boggs
I have read and fully understand each of the terms, conditions and release of liability set forth above, including the permission to secure medical treatment and the release of all claims, including claims for negligence of the Released Parties. I am 18 years of age or older. I understand that my signed waiver will be retained in my file. This document is binding upon me and my heirs, children, wards, personal representatives and anyone else entitled to act on my behalf.