superMOM CLE Waiver Form
Email address *
First Name *
Last Name *
I have enrolled in the health and fitness program offered by superMOM CLE, LLC. I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or otherwise limit my full participation in this physical program.

You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a
release of liability. You expressly agree to release and discharge the instructor from any and
all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise
have to bring a legal action against the trainer or instructor for personal injury or property damage.
To the extent that statute or case law does not prohibit releases for negligence, this release is also for

I hereby release, waive, discharge, and covenant not to sue superMOM CLE, LLC and/or any of its officers, servants, agents, consultants, volunteers, and/or employees from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury (including, but not limited to, death) that may be sustained by me, or to any property belonging to me, while participating in this program, or while on or upon the premises where the event is being conducted including, but not limited to, any claims arising under negligence.

In signing this waiver and release, I acknowledge and represent that I have read and understand the foregoing and hereby sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made.

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