MissionFit COVID-19 Waiver

MissionFit is excited to begin its return to fitness initiative at this time. Classes will follow CDC guidelines that best meet the safety needs of all of our athletes and coaching staff. You must complete this waiver at least 1 hour prior to each class. If you have any questions please feel free to contact Joshua Day.
Email *
First Name *
Last Name *
What class will you be attending? *
What is your current temperature? If you are exhibiting a temperature of 100.4 or higher, please do not attend class. Temperatures will also be taken at the gym by the coaches upon arrival. * *
Are you exhibiting any signs or symptoms of Coronavirus? (including high fever, difficulty breathing, persistent pain or pressure in chest area, inability to stay awake, bluish lips/face, loss of taste or smell, and/ or confused.) *
MissionFit, INC. Covid-19 Waiver of Liability And Indemnity Agreement
I understand that MissionFit, INC. (“MissionFit”) is working to return to fitness in a safe and responsible fashion and will be attempting to follow applicable guidelines and limitations imposed and/or suggested by national, state, and local authorities. I understand that my participation in MissionFit's return to fitness programming is voluntary. I understand that my decision to participate in MissionFit's return to fitness programming is based upon my full understanding of the risks associated with Covid-19 and considers my family’s unique health, safety, and risk situation and preferences. If I choose to participate in MissionFit’s return to fitness programming, I, for myself agree to comply with all MissionFit policies and rules. I understand that Covid-19 infections, illnesses, and deaths have occurred across the United States of America and in the state of Maryland, including many, if not all, of the counties in Maryland. If I choose to participate in MissionFit's return to fitness programming, I understand that there is an increased risk that I, my family, my co-workers, and anyone else with whom I may come into contact or close proximity, may be exposed to and/or contract Covid-19. Waiver And Indemnification: With full awareness and appreciation of the risks involved, I, for myself and on behalf of my spouse, family, estate, heirs, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, indemnify, and covenant not to sue MissionFit, its board members, owners, officers, agents, servants, coaches, assistant coaches, volunteers, organizers, helpers, independent contractors, affiliates, employees, successors, and assigns (collectively the “Released Parties”) from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, my spouse, or my family related to Covid-19 whether caused by the negligence of the Released Parties while participating in the MissionFit return to fitness programming. By indicating Yes in the box below I acknowledge and represent that I have read the foregoing Waiver of Liability and Indemnity Agreement, understand it and sign it voluntarily as my own free act and deed. I further acknowledge and state that no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made. I further agree that this agreement shall be governed by and construed in accordance with Maryland law, and that if any of the provisions hereof are found to be unenforceable, the remainder shall be enforced as fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit enforcement of the agreement as a whole. *
Do you assume all risks and liability as stated in the above statement? *
MissionFit, INC. Accident Waiver and Release of Liability
By signing this Accident Waiver and Release of Liability (“Waiver”), I assume all risk of my child and/or me participating in training at/with MissionFit, Inc. (“MissionFit”). Without signing this form, neither me nor my child will be able to participate in any weightlifting, sprinting, gymnastics, or other exercise-related activity (collectively “activities”). I acknowledge that the activities may pose some risk of personal injury and that I undertake and assume this risk for me and my child. I CERTIFY THAT MY CHILD AND/OR I ARE PHYSICALLY FIT AND SUFFICIENTLY PREPARED FOR PARTICIPATION IN THE ACTIVITIES AND THAT THERE ARE NO HEALTH RELATED REASONS OR PROBLEMS WHICH WOULD PRECLUDE THE PARTICIPA- TION OF ME OR MY CHILD IN THE ACTIVITIES. I HAVE NOT BEEN ADVISED OF ANY REASON WHICH WOULD LIMIT MY CHILD OR ME IN PARTICIPATING IN THE ACTIVITIES. I HAVE BEEN ADVISED TO CONSULT WITH A PHYSICIAN PRIOR TO THE START OF ANY PHYSICAL EXERTION, SUCH AS THE ACTIVITIES. On behalf of me and my child, I further waive and release MissionFit, any other promoters of the activities, school facility, sponsors, any insuring entity of any of the above, and their directors, board members, o icers, employees, volunteers, agents, representatives, or assigns, from any and all liability, including, but not limited to, liability arising from negligence or fault of such entities or persons for any injury or disability which may occur as a result of my or my child’s participation in the activities. I understand that I am assuming all risks related to the activities on behalf of me and my child that may arise from any cause on the part of any of the persons or entities being released, any other persons at any MissionFit location where the activities are conducted, as well as from defective equipment, real or personal property that is owned, maintained, or controlled by the above persons or entities. This waiver and release of liability includes, without limitation, all injuries which may occur as a result of: (a) use of all amenities and equipment in the facility and participation in any of the activities; (b) the sudden and unforeseen malfunctioning of any equipment; (c), the actions of fellow participants in the activities or otherwise; (d) instruction, training, supervision, or dietary recommendations; and/or (e) slipping and/or falling while at MissionFit, or on the club premises, including adjacent sidewalks and parking areas. I agree to defend, hold harmless, and indemnify MissionFit, any other promoters of the activities, school facility, sponsors, any insuring entity of any of the above, and their directors, board members, o icers, employees, volunteers, agents, representatives, or assigns, from and against all losses, claims, damages, costs or expenses (including reasonable legal fees, or similar costs) in connection with any action or claim brought or made (or threatened to be brought or made), for, or on account of any injuries or damages, received or sustained by me and/or my child arising during the course of the activities.

I consent to receive any medical treatment deemed advisable for an injury to me or my child during the activities and that any medical or other insurance that I and/or my child maintain will be insurance of first and only resort for any such injury. I understand and agree that I and/or my child may be photographed while participating in the activities. I agree to allow my and my child’s photo, video, or other likeness to be used by MissionFit to promote the activities and I agree that such use may be made in any media (print, online, TV/radio) even after my child is no longer involved in the activities. I acknowledge and agree that neither I nor my child will receive any compensation from the use of such photos, videos, or other likeness.

This Waiver constitutes the sole and only agreement between the parties concerning my child’s and my release and indemnification as a condition for participating in the activities. This Waiver will be governed by the substantive law of the State of Maryland, excepting its conflict of law provisions. Any prior agreements, whether oral or in writing, shall be void and of no further e ect. This Waiver may not be modified. If any portion of this Waiver is found by a Court of competent jurisdiction to be invalid or unenforceable, then the remainder of this Waiver will remain in full force and effect until the ending provision or provisions severed herefrom.

I certify that I have read this Waiver, and I fully understand its contents. I am aware that this is a release and indemnification of liability for me and my child, and I sign it of my own free will.
Do you assume all risks and liability as stated in the above statement? *
Mandate: You MUST report a positive test to MissionFit Staff (strength@missionfit.org) if you have been in the gym within 14 days of the test
A copy of your responses will be emailed to the address you provided.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of MissionFit. Report Abuse