INFORMED CONSENT, WAIVER AND RELEASE
I do hereby consent to participate in a personal or group training program that may include gymnastics, weight training and/or cardiovascular exercise. Because physical exercise can be strenuous and subject to risk of serious injury (including, but not limited to musculoskeletal injury, spinal injuries, abnormal blood pressure responses, and rare instances of heart attack or death), I understand it is important that I obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. I agree that by participating in physical exercise or training activities, I do so entirely at my own risk. Any recommendation for changes in diet including the use of supplements, weight reduction and/or body building enhancement products are my responsibility and I should consult a physician prior to undergoing any dietary or food supplement changes. In consideration for membership or participation in the activities and programs, and use of the facilities, equipment and premises, I agree that Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton are not responsible for any injuries, loss or damage to person or property, including money belonging to me or my family and their respective guests in or about the facilities of Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton. I hereby waive, release and forever discharge Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton, its officers, agents, employees, and representatives from any liability for any injuries or damages whatsoever, including but not limited to those caused by any negligent act or omission of any of those mentioned or others acting on their behalf. This waiver and release of liability includes, but is not limited to, all injuries which may occur as a result of: a) use of all amenities and equipment at the facilities of Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton, b) participation in any activity, class, program, personal training, supervision or instruction, c) the sudden and unforeseen malfunctioning of any equipment d) instruction, training, supervision or dietary recommendations and e) slipping and/or falling while in on the premises of Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton, including adjacent sidewalks and parking areas.
Furthermore, for good and valuable consideration, the receipt of which is hereby acknowledged, I hereby irrevocably authorize Telos Strength & Conditioning, LLC, Hazelton Properties, LLC, and Shaun Hazelton to use photographs of me and/or my property and authorize Telos Strength & Conditioning, LLC, Hazelton Properties, LLC, and Shaun Hazelton and their licensees, legal representatives, and transferees to use and publish (with or without my name, company name, or with a fictitious name) photographs, pictures, images, or videos herein described in any and all forms of media and in all manners including composite images or distorted representations, and for the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on internet websites and social media), for any product or services, or other lawful uses as may be determined by Telos Strength & Conditioning, LLC, Hazelton Properties, LLC, and Shaun Hazelton. I further waive all rights to review or approve any uses of the images, any written copy or finished product.
I acknowledge that I have carefully read this Informed Consent, Waiver and Release and fully understand that it is a release of any and all liability. I expressly agree to release and discharge the trainers/instructors from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring legal action against Telos Strength & Conditioning, LLC, Hazelton Properties, LLC and Shaun Hazelton for personal injury or property damage.If any portion of this release from liability shall be deemed by a court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.
By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.