Waiver and Release of Liability
Life Pulse Fitness LLC
100 N Mechanic St
Berrien Springs,MI 49103
100 N Mechanic St
Berrien Springs,MI 49103
Express assumption of risk:
I, the undersigned, am aware that there are significant risks involved in all
aspects of physical training. These risks include, but are not limited to: falls which can result in serious
injury or death, injury or death due to negligence on the part of myself, my training partner, or other people
around me, injury or death due to improper use or failure of equipment. I am aware that any of these above
mentioned risks may result in serious injury or death to myself and or my partner(s).
I willingly assume full responsibility for the risks that I am exposing myself to and accept full
responsibility for any injury or death that may result from participation in any activity or class while at
Life Pulse Fitness. I, the undersigned acknowledge that I have no physical impairments or illnesses that
will endanger myself or others.
Release:
In consideration of the above mentioned risks and hazards and in consideration of the fact that I
am willingly and voluntarily participating in the activities available at Life Pulse Fitness LLC, I, the undersigned
hereby release Life Pulse Fitness LLC, their principals, agents, employees, and volunteers from any and all
liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way
connected with my participation in this activity, including those allegedly attributed to the negligent acts or
omissions of Life Pulse Fitness LLC, their principals, agents, employees, and volunteers.
This agreement shall be binding upon me, my successors, representatives, heirs, executors,
assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the
agreement shall remain in full legal force and effect.
If I am signing on behalf of a minor child, I also give full permission for any person connected
with Life Pulse Fitness LLC to administer first aid deemed necessary, and in case of serious illness or injury, I give
permission to call for medical and or surgical care for the child and to transport the child to a medical
facility deemed necessary for the well being of the child.
Indemnification:
The
participant recognizes that there is risk involved in the types of activities
offered by Life Pulse Fitness LLC. Therefore the participant accepts financial
responsibility for any injury that the participant may cause either to
him/herself or to any other participant due to his/her negligence. Should the
above mentioned parties, or anyone acting on their behalf, be required to incur
attorney's fees and costs to enforce this agreement, I agree to reimburse them
for such fees and costs. I further agree to indemnify and hold harmless Life
Pulse Fitness LLC, their principals, agents, employees, and volunteers from
liability for the injury or death of any person(s) and damage to property that
may result from my negligent or intentional act or omission while participating
in activities offered by Life Pulse Fitness LLC.
I have read and understood
the foregoing assumption of risk, and release of liability and I understand that
by signing it obligates me to indemnify the parties named for any liability for
injury or death of any person and damage to property caused by my negligent or
intentional act or omission. I understand that by signing this form I am
waiving valuable legal rights.
PARENTAL
CONSENT, (for participants under the age of 18) I, the undersigned parent or
legal guardian of the child shown above, have read the above and understood the
foregoing assumption of risk, and release of liability and agree to its terms
on behalf of my child and myself. I understand that by signing below, I am
giving up substantial rights on behalf of my child and myself.