Waiver

FIIT JUELZ: Waiver and release of liability

I fully understand and acknowledge that recreational and fitness activities have (a) inherent risks, dangers, and hazards and such exists in my use of any equipment and my participation in these activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, strains, fractures, partial and/or total paralysis, death or other ailments that, could cause serious disability; (c) by my participation in these activities and for use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages  or injuries  caused  by my use of the equipment and/or participation in activities. 

I, on behalf of myself,  my assigns,  my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify FIIT JUELZ and their representatives, employees, and volunteers from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of any equipment or participation in activities.  

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE. IT IS MY INTENTION TO EXEMPT AND RELIEVE FIIT JUELZ and NEW YORK STATE FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH.

 Participant's Name (print) ________________________________________

Date of birth _____________

Address __________________________________________

Zip_________

Cell Phone ____________________________________

Emergency Contact _________________________________

Phone ______________________

Name
Name