Facility Use Waiver and Release
I agree to abide by the rules and regulations that are adopted by WPAL DuBois Fitness Center. I understand that WPAL DuBois Fitness Center reserves the right to terminate any membership with or without cause, at any time. I hereby acknowledge that all information provided by myself is true and correct and that I have read and understand the preceding prior to signing and agree to all terms outlined below.
I acknowledge that WPAL DuBois Fitness Center is a 24/7 access facility, and is under the use of full surveillance at all times.
I hereby agree and consent to voluntarily engage in any and all exercises and physical activity opportunities at WPAL DuBois Fitness Center, to voluntarily use WPAL DuBois Fitness Center equipment, and to voluntarily use WPAL DuBois Fitness Center’s facilities at my own risk and with full knowledge and appreciation of any and all dangers and risks inhibited.
I acknowledge that I have and am hereby advised to seek and obtain any necessary medical clearances from my physician and to undertake a physical examination prior to beginning any exercise activity. If you have not undergone a physical examination, you must do so before beginning this program. I, the undersigned hereby assume full responsibility for any and all risks of any bodily injury, illness, death, and/or property damage.
I hereby release, waive, forever discharge, and/or covenant not to sue WPAL DuBois Fitness Center, it’s subsidiaries, successors, assigns, or it’s agents, employees, board members, or assigns for any and all loss or damage and/or any claims, demands or accusations unknown, on account of or in any way related to any illness, condition, and/or injury to my person or property, or which may result in my death.
I hereby give my consent to WPAL DuBois Fitness Center to photograph, film, videotape, and then use, reproduce, and publish said images of me and/or my children. I agree that photographs/negatives, film, or video thereof shall constitute the sole property of WPAL DuBois Fitness Center, with full right of disposition in any manner whatsoever, including the right to publish online. I hereby release WPAL DuBois Fitness Center and staff from any and all claims whatsoever in connection with the use, reproduction, and publication of the images thereof.
I hereby acknowledge by signing this form on behalf of myself and/or the child listed on the membership application, I agree that the consent, release, waiver of liability, and indemnity agreement also apply to the child and are incorporated herein by reference as though set forth in full. This facility is also being monitored by audio and video surveillance at all times.
