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Waiver and Release of Liability
1. In consideration of my obtaining membership and being allowed to use the facilities and equipment of
McLeod Health and Fitness Center (MHFC). I waive any right I may have in the future to make a
claim against MHFC, its managers, employees, instructors, or agents, resulting from ordinary
negligence on the part of MHFC and those listed. This waiver extends to any type of personal injury I
might sustain in my use of the facilities of MHFC and any theft of personal property of mine lost on
the premises. This Agreement shall operate as a release of any liability of MHFC and those listed for
any claim that may develop arising out of ordinary negligence in the operation of MHFC.
2. I understand that strength, flexibility and aerobic exercise, including the use of
equipment involves risk of injury. I am voluntarily participating in these activities and using the
equipment with knowledge of the dangers involved. I assume the risk of injury that might happen to
me by using the facilities and participating in the programs of MHFC.
3. I represent to MJFC that I am physically fit to participate in the activities and
programs of the Center and that I will not extend myself beyond my abilities, or if I do so, it will be at
my own risk.
4. I have been informed that I should consult with a physician concerning my
participating in any exercise program and obtain from a physician’s advice as to how I should
periodically update my state of physical condition with physician. I either have obtained such advice
from a physician or acknowledge that I have decided to participate in exercise programs without
obtaining the advice of a physician.
5. I understand that the Wavier and Release of Liability above stated is broad terms. If
portion of this Waiver and Release of Liability is held invalid, the remainder will continue in effect.
6. I have read this Waiver and Release of Liability and understand the rights I am giving
up by signing it.
Date: _____________________
____________________________
Name of Participant (Please Print)
____________________________
Signature of Participant or Parent

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