PGCR Pumps You Up Club.
Registration to participate in the weekly, virtual, fitness club.
Email *
Phone number in case of an emergency *
Participant Name *
Participant is medically cleared to participate in an exercise club *
Required
Please read the following:
Participants are voluntarily engaging in physical exercise
1) the participants who take part in the PGCR/SPIRIT Club classes have no physical or mental health conditions, including, without limitation, any cardiovascular, neurological, disease or other condition that will prevent the participants from
participating in any PGCR/SPIRIT Club program, without injury to the participants or impairment to the participants’ health
2) PGCR/SPIRIT Club recommends that only individuals approved for exercise by their doctors participate in their virtual classes.

WAIVER & RELEASE OF LIABILITY - The participant
1) waives any and all claims and rights that the participant may now or hereafter have against Prince George's Community Resources (hereinafter referred to as PGCR) /Spirit Fit and Health LLC (hereinafter referred to as “SPIRIT Club”) or any PGCR/SPIRIT Club Representative (employee, independent contractor, volunteer or other individual affiliated with the SPIRIT Club), for any loss;
2) releases, discharges, holds harmless & indemnifies SPIRIT Club and any SPIRIT Club Representative, and covenants not to sue PGCR/SPIRIT Club or any SPIRIT Club Representative, with respect to, any and all now existing or hereafter arising claims, losses, injuries (including, without limitation, death), mental, physical and/or emotional distress, causes of action, suits, judgments, demands, fees, costs, expenses (including, without limitation, attorneys’ fees, costs, and expenses), damages, and other liabilities with respect to any loss;
3) understands that PGCR/SPIRIT Club makes no medical claims nor warrants any results from participation in PGCR/SPIRIT Club programs;
4) acknowledges that PGCR/SPIRIT Club has represented that its personnel has no expertise in diagnosing, examining, or creating special plans of exercise for individuals with medical conditions, and that PGCR/SPIRIT Club cannot determine the effect of any specific exercise on any medical condition;
5) recognizes and agrees to assume the risk of injury or illness arising out of the participants’ participation with PGCR/SPIRIT Club.
I acknowledge that I have read and understood the above. By checking the YES box it will accepted as a signature. *
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Relationship to participant *
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