Release & Waiver For Personal Fitness Training Program printable pdf download

CITY & COUNTY OF DENVER

PARKS & RECREATION DEPARTMENT

RELEASE & WAIVER FOR PERSONAL FITNESS TRAINING PROGRAM

This agreement provides for an assumption of risk waiver of rights, release of liability and indemnification with

respect to participation in a personal fitness training program (referred to herein as “Release and Waiver”). Please

read the Release and Waiver carefully before signing.

I, ____________________________________________________, have made a voluntary request to participate in a

personal training program with the City & County of Denver Parks & Recreation Department. “Personal training

program” includes but is not limited to the following types of exercise: Cardiovascular Training, Muscular Strength

and Endurance Training, Flexibility Training; use of treadmill, elliptical, leg press/extension, bench press and

barbells (“Exercise Program”). As a pre-condition to the right to participate in the Exercise Program, I do hereby

agree, of my own free will and acknowledging I have been duly informed, to the following:

1. I acknowledge that I have been informed of the need to fill out a medical history form prior to beginning this

Exercise Program. I may also be required to obtain a physician’s approval form. I fully understand that the Exercise

Program may be strenuous and choose to participate completely voluntarily. I accept all responsibility for my health

and any resultant injury or mishap that may affect my well being or health in any way.

2. I freely, voluntarily and with full knowledge, assume the risk or risks associated with the Exercise Program,

including but not limited to death or personal injury (e.g., abnormal blood pressure, fainting, stroke or heart attack.)

I take full responsibility for the ramifications of my actions and physical condition in connection with my

participation in the Exercise Program. I understand that questions about exercise procedures and recommendations

are encouraged and welcomed and that I am free, at any time, to cease or reduce my participation in the Exercise

Program.

3. IN CONSIDERATION OF PARTICIPATING IN SAID EXERCISE PROGRAM, I RELEASE, WAIVE,

DISCHARGE AND HOLD HARMLESS THE CITY & COUNTY OF DENVER, ITS OFFICIALS, EMPLOYEES,

STAFF AND VOLUNTEERS AND THEIR SURETIES FROM ALL LIABILITY, CLAIMS, CAUSES OF

ACTION, OR COSTS AND EXPENSES WHATSOEVER ARISING OUT OF ANY DAMAGE, LOSS OR

INJURY TO ME OR MY PROPERTY INCURRED WHILE PARTICIPATING IN SAID EXERCISE PROGRAM,

WHETHER SUCH LOSS, DAMAGE OR INJURY RESULTS FROM THE NEGLIGENCE OF THE CITY &

COUNTY OF DENVER, ITS PUBLIC OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS AND THEIR

SURETIES OR FROM SOME OTHER CAUSE. I FURTHER RELEASE THE CITY & COUNTY OF DENVER,

ITS OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS AND THEIR SURETIES FROM ANY

LIABILITY OR CLAIMS OF ANY NATURE PERTAINING TO THE VOLUNTARY DISCLOSURE OF MY

MEDICAL HISTORY.

4. I FURTHER AGREE FOR MYSELF, MY HEIRS, PERSONAL REPRESENTATIVES, EXECUTORS,

ADMINISTRATORS AND ASSIGNS TO HOLD HARMLESS AND INDEMNIFY THE CITY & COUNTY OF

DENVER, ITS PUBLIC OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS THEIR SURETIES

AGAINST ANY AND ALL LIABILITY, CLAIMS, CAUSES OF ACTION, SUITS, DAMAGES OR EXPENSES

OF EVERY KIND AND NATURE INCURRED OR ARISING BY REASON OF ANY ACTUAL OR CLAIMED

NEGLIGENT OR WRONGFUL ACT OR OMISSION BY ME OR BY THEM WHILE PARTICIPATING IN

SUCH EXERCISE PROGRAM.

5. TO THE EXTENT THAT ANY CHILD (A MINOR UNDER THE AGE OF 18) FOR WHOM I AM THE

PARENT OR LEGAL GUARDIAN AND WHO IS PARTICIPATING IN THE EXERCISE PROGRAM, I AGREE

THAT PARAGAPHS 1 THROUGH 4 ABOVE SHALL BE APPLICABLE WITH RESPECT TO THAT CHILD. I

ACKNOWLEDGE AND COVENANT THAT I HAVE THE LEGAL AUTHORITY TO RELEASE AND WAIVE

MY CHILD’S RIGHTS, ALONG WITH MY FAMILY’S RIGHTS, AS PROVIDED HEREIN. I ALSO

ACKNOWLEDGE AND AFFIRM THAT I HAVE READ AND UNDERSTAND THE CONTENT OF THIS

FORM AND THAT THIS DOCUMENT IS LEGALLY BINDING UPON MY CHILD, MY FAMILY, AND ME,

AS WELL AS ANY PERSONAL REPRESENTATIVES, EXECUTORS, ADMINISTRATORS AND ASSIGNS.

Release & Waiver For Personal Fitness Training Program

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