ENDURALAB RELEASE OF LIABILITY WAIVER
I, _______, HAVE APPLIED TO ENDURALAB’S ENDURANCE BASED EXERCISE TRAINING PROGRAM (THE “PROGRAM”) AT ENDURALAB’S FACILITY LOCATED AT 2816 SHAMROCK AVENUE #120, FORT WORTH, TX 76107.
_______I HEREBY ACKNOWLEDGE THAT I SHOULD CONSULT WITH MY PHYSICIAN BEFORE BEGINNING ANY EXERCISE PROGRAM.
_______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 ENDURALAB 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 A TRAINER, I WILL IMMEDIATELY STOP EXERCISING AND INFORM A REPRESENTATIVE OF ENDURALAB OF MY SYMPTOMS.
_______I AUTHORIZE ANY REPRESENTATIVE OF ENDURALAB 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 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, AND I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND 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 ENDURALAB AND ITS DIRECTORS, OFFICERS, MEMBERS, MANAGERS, EMPLOYEES, AGENTS, ATTORNEYS, INSURERS, SUCCESSORS, AND ASSIGNS (COLLECTIVELY, “ENDURALAB PARTIES”), FOR ANY AND ALL CLAIMS, DEMANDS, DAMAGES, LOSSES, LIABILITIES, RIGHTS, ACTIONS, CAUSES OF ACTION, EXPENSES, AND SUITS OF ANY KIND WHATSOEVER, FORSEEN OR UNFORSEEN, 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 ENDURALAB 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 ME AND ENDURALAB AND I SIGN IT OF MY OWN FREE WILL
Executed on: ______ AT ENDURALAB - FORT WORTH, TEXAS
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