Liability Waiver and Release of All Claims
For Iron Grip Ninja
Email address *
Last Name of the Participant *
First Name of the Participant *
Birthday of Participant *
Name of Parent or Legal Guardian of Child (If waiver is for yourself, use your name) *
Phone number of Parent or Legal Guardian *
I am physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in any of the activities, equipment and/or programs at Iron Grip Ninja. If I have been informed of the need for a physician's approval for any participation in an exercise/fitness activity or in the use of exercise equipment, I will have my physician complete a “Physician’s Approval for Participation in Exercise”. It has been recommended to me that I have an annual (or more frequent) physical examination and consultation with my physician as to my physical activity, exercise and use of exercise and training equipment. I have either had a physical examination and have received my physician's permission to participate in these activities, or that I have decided to participate in these activities without the approval of my physician and do hereby assume all responsibility for my participation of these activities whether on or off the premises of Iron Grip Ninja.I understand and am aware that strength, flexibility, and aerobic exercise, including the use of equipment, are potentially hazardous activities. I also understand that fitness activities involve a risk of injury, permanent disability and even death. I am voluntarily participating in these activities and using the equipment with knowledge of the dangers involved. I expressly assume and accept any and all risks of injury, disability and death. I also assume all risks of damage, loss or theft of my personal property, including but not limited to my automobile, cubby, or its contents. I, for myself and my heirs, legal representatives and assigns, expressly and voluntarily forever release, discharge, indemnify, defend and hold Iron Grip Ninja and its owners, subsidiaries, affiliates, directors, officers, trustees, employees, instructors, agents, volunteers, affiliated persons or organizations and their successors and assigns (“Releasees”) harmless from and against any and all claims, demands, actions, causes of action, liabilities, losses, damages and expenses (including attorneys’ fees) claimed or alleged, whether occurring on or off the premises of the Iron Grip Ninja, known or unknown, whatsoever for personal injury, including death, or property damage arising out of or otherwise attributable to: (i) any and all negligent acts, errors, or omissions on the part of the Iron Grip Ninja and/or Releasees; or (ii) my participation at Iron Grip Ninja or in the Iron Grip Ninja programs, equipment, facilities whether on or off the Iron Grip Ninja’s premises. This Waiver includes but is not limited to use of any equipment or facilities, maintenance related to any equipment or facilities, negligent or alleged negligent instruction by Iron Grip Ninja, active and/or passive negligence by Iron Grip Ninja, Releasees, any other member or guest, or any slip and fall in the facility or parking lot or during any activities or programs whether on or off the premises of Iron Grip Ninja. I consent to emergency medical care and transportation in order to obtain treatment in the event of injury as Iron Grip Ninja deems appropriate. This Waiver also extends to medical care or transportation provided in the event of an emergency. I expressly agree that the terms contained in this Waiver are intended to be as broad and inclusive as permitted by Michigan law. If any part of this Waiver is deemed not valid for any reason, the remaining portions shall be valid and remain fully enforceable. This Waiver shall survive termination of membership, class enrollment, or guest privileges with Iron Grip Ninja.I give express permission for Iron Grip Ninja to publish photographs or videos that have been taken of me. Iron Grip Ninja has my permission to use these in any manner for publicity including but not limited to all forms of social media, website publication, and print advertising. I waive any rights and claims that I have to these images and I acknowledge that their use does not entitle me to any discount or compensation. I have carefully read this Waiver and fully understand its contents without exception. I am aware that this is a waiver and release of all claims and have signed of my own free will. If I am signing as a parent or guardian, I agree to the contents of this Waiver on behalf of myself and my child. *
Parent or Legal Guardian Signature *
Date Waiver Signed *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy