Release & Waiver For Personal Fitness Training Program

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CITY & COUNTY OF DENVER
PARKS & RECREATION DEPARTMENT
RELEASE & WAIVER FOR PERSONAL FITNESS TRAINING PROGRAM
This agreement provides for an assumption of risk waiver of rights, release of liability and indemnification with
respect to participation in a personal fitness training program (referred to herein as “Release and Waiver”). Please
read the Release and Waiver carefully before signing.
I, ____________________________________________________, have made a voluntary request to participate in a
personal training program with the City & County of Denver Parks & Recreation Department. “Personal training
program” includes but is not limited to the following types of exercise: Cardiovascular Training, Muscular Strength
and Endurance Training, Flexibility Training; use of treadmill, elliptical, leg press/extension, bench press and
barbells (“Exercise Program”). As a pre-condition to the right to participate in the Exercise Program, I do hereby
agree, of my own free will and acknowledging I have been duly informed, to the following:
1. I acknowledge that I have been informed of the need to fill out a medical history form prior to beginning this
Exercise Program. I may also be required to obtain a physician’s approval form. I fully understand that the Exercise
Program may be strenuous and choose to participate completely voluntarily. I accept all responsibility for my health
and any resultant injury or mishap that may affect my well being or health in any way.
2. I freely, voluntarily and with full knowledge, assume the risk or risks associated with the Exercise Program,
including but not limited to death or personal injury (e.g., abnormal blood pressure, fainting, stroke or heart attack.)
I take full responsibility for the ramifications of my actions and physical condition in connection with my
participation in the Exercise Program. I understand that questions about exercise procedures and recommendations
are encouraged and welcomed and that I am free, at any time, to cease or reduce my participation in the Exercise
Program.
3. IN CONSIDERATION OF PARTICIPATING IN SAID EXERCISE PROGRAM, I RELEASE, WAIVE,
DISCHARGE AND HOLD HARMLESS THE CITY & COUNTY OF DENVER, ITS OFFICIALS, EMPLOYEES,
STAFF AND VOLUNTEERS AND THEIR SURETIES FROM ALL LIABILITY, CLAIMS, CAUSES OF
ACTION, OR COSTS AND EXPENSES WHATSOEVER ARISING OUT OF ANY DAMAGE, LOSS OR
INJURY TO ME OR MY PROPERTY INCURRED WHILE PARTICIPATING IN SAID EXERCISE PROGRAM,
WHETHER SUCH LOSS, DAMAGE OR INJURY RESULTS FROM THE NEGLIGENCE OF THE CITY &
COUNTY OF DENVER, ITS PUBLIC OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS AND THEIR
SURETIES OR FROM SOME OTHER CAUSE. I FURTHER RELEASE THE CITY & COUNTY OF DENVER,
ITS OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS AND THEIR SURETIES FROM ANY
LIABILITY OR CLAIMS OF ANY NATURE PERTAINING TO THE VOLUNTARY DISCLOSURE OF MY
MEDICAL HISTORY.
4. I FURTHER AGREE FOR MYSELF, MY HEIRS, PERSONAL REPRESENTATIVES, EXECUTORS,
ADMINISTRATORS AND ASSIGNS TO HOLD HARMLESS AND INDEMNIFY THE CITY & COUNTY OF
DENVER, ITS PUBLIC OFFICIALS, EMPLOYEES, STAFF AND VOLUNTEERS THEIR SURETIES
AGAINST ANY AND ALL LIABILITY, CLAIMS, CAUSES OF ACTION, SUITS, DAMAGES OR EXPENSES
OF EVERY KIND AND NATURE INCURRED OR ARISING BY REASON OF ANY ACTUAL OR CLAIMED
NEGLIGENT OR WRONGFUL ACT OR OMISSION BY ME OR BY THEM WHILE PARTICIPATING IN
SUCH EXERCISE PROGRAM.
5. TO THE EXTENT THAT ANY CHILD (A MINOR UNDER THE AGE OF 18) FOR WHOM I AM THE
PARENT OR LEGAL GUARDIAN AND WHO IS PARTICIPATING IN THE EXERCISE PROGRAM, I AGREE
THAT PARAGAPHS 1 THROUGH 4 ABOVE SHALL BE APPLICABLE WITH RESPECT TO THAT CHILD. I
ACKNOWLEDGE AND COVENANT THAT I HAVE THE LEGAL AUTHORITY TO RELEASE AND WAIVE
MY CHILD’S RIGHTS, ALONG WITH MY FAMILY’S RIGHTS, AS PROVIDED HEREIN. I ALSO
ACKNOWLEDGE AND AFFIRM THAT I HAVE READ AND UNDERSTAND THE CONTENT OF THIS
FORM AND THAT THIS DOCUMENT IS LEGALLY BINDING UPON MY CHILD, MY FAMILY, AND ME,
AS WELL AS ANY PERSONAL REPRESENTATIVES, EXECUTORS, ADMINISTRATORS AND ASSIGNS.

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