Informed Consent And Release Of Liability Agreement (Page 2 of 2) in pdf

Informed Consent And Release Of Liability Agreement Page 2

NATURE, OR DESCRIPTION, INCLUDING DEATH, THAT MAY ARISE OR BE

SUSTAINED BY ME DURING OR RELATED TO MY PARTICIPATION IN THE FITNESS

CENTER OR THE USE OF ANY EQUIPMENT AT THE FITNESS CENTER.

THIS

RELEASE SHALL BE BINDING UPON MY HEIRS, ADMINISTRATORS, EXECUTORS,

AND ASSIGNS.

UNDERSTANDING BETWEEN PARTIES

I represent that I have read and understood and have had an opportunity to ask questions concerning the

Fitness Center Rules, as the same may be amended from time to time, as the case may be. I declare that I

agree to be bound by and obey the Fitness Center Rules in my use of the activities, facilities, and

equipment. I understand that at any time I may review the Fitness Center Rules, as the same may be

posted in the Fitness Center, or by requesting a copy.

I represent that I have read and understood and have had an opportunity to ask questions concerning this

Informed Consent and Release of Liability Agreement. I declare that I agree to the contents of this

Informed Consent and Release of Liability Agreement in its entirety. I acknowledge that this Informed

Consent and Release of Liability Agreement, signed by me, and my release are being relied on by the

Fitness Center in permitting me to use the Fitness Center. I understand that at any time I may review this

Informed Consent and Release of Liability Agreement by requesting a copy.

Indicate Fitness Center location:

1800 Mass. Ave, Washington, DC 20036

_______________________________________

Participant’s Signature

Fitness Center Representative’s Signature

_______________________________________

Participant’s Name (print)

Fitness Center Representative’s Name (print)

___________________

__________________

Date

Date:

SEIU

1800 Massachusetts Avenue

Washington, DC 20036

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Informed Consent And Release Of Liability Agreement Page 2