THIS IS IN RELATION TO THE SERVICES OFFERED UNDER GENERAL PROGRAM (PRIVATE AND GROUP) OFFERED BY HEALTH ALLIANCE MOVEMENT AND COMMUNITY PROGRAM PARTNERS.
BY ENROLLING INTO THE AFOREMENTIONED SERVICES YOU HAVE AGREED TO THE TERMS & CONDITIONS BELOW.
I, hereby acknowledge my awareness that my participation in physical activities offered at Health Alliance Movement and that by the Community Program providers may involve the following activity / activities.
- Lifting weights (free-weights, body weight);
- Aerobic exercises;
- Dancing (Breaking, Hip-hop, Partner dance);
- Martial arts (Capoeira, Jujitsu);
I have been informed and understand that my participation in the aforementioned activity / activities may expose me to certain foreseeable and unforeseeable risks of bodily injury, including serious bodily injury, where I may need medical treatment.
I knowingly, freely and voluntarily assume all risks and engage myself in the participation of the above-mentioned activities.
I hereby release Health Alliance Movement and Community Program providers, from any and all liability arising out my participation of the above-mentioned activities and hereby waive my rights herein to assert any claim(s) for damages, bodily injury or serious bodily injury to the fullest extend allowed by law.
I further agree that I will hold harmless against any and all claim(s) for damages, bodily injury or serious bodily injury arising out of or in connection of my participation in the above-mentioned activities whether caused by negligence or otherwise.
I fully understand the terms set forth in this form, and I hereby execute this Physical Activity Release of Liability Form.