Studio PureFit L.L.C./PureFit Pilates & Yoga Information and Waiver FormPlease fill this out prior to your first class with us. Date MM DD YYYY Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### PARTICIPANT AGREEMENT 1. In consideration of participating in the “Activity” (as defined below), I agree and acknowledge that I am fully aware that participation in the Activity involve risks and I accept all the risks of participating, even if the risks are created by the carelessness, negligence or gross negligence of the Released Party (as defined below) or anyone else. 2. “Activity” includes but is not limited to Pilates, yoga or other exercise classes and private and semi-private training sessions. “Claims” includes but is not limited to any and all liabilities, claims, demands, legal actions, rights of actions for damages, personal injury or death in connection with participation in the Activity. “Released Party” means Studio PureFit L.L.C./PureFit Pilates & Yoga L.L.C. And any of its instructors, employees, volunteer staff and owners. 3. I agree and acknowledge that: a. I am in proper physical condition to participate in the Activity, and am aware that participation could, in some circumstances, result in physical injury, serious physical injury or death. b. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured. 4. I hereby, for myself and for my heirs, next of kin, executors, administrators and assigns, fully release, waive and forever discharge any and all rights or Claims I may have, now or in the future, against any Released Party, even if the Claims are based on the carelessness, negligence or gross negligence of a Released Party or anyone else. Without limiting the foregoing, I further release any recourse which I may now or hereafter have resulting from any decision of any Released Party. 5. I agree not to sue any Released Party for Claims, even if the Claims arise from the carelessness, negligence or gross negligence of any Released Party or anyone else. I agree to indemnify (reimburse for any loss) and hold harmless each Released Party from any loss or liability (including any reasonable legal fees they may incur) defending any Claim made by me or anyone making a Claim on my behalf, even if the Claim is alleged to or did result from the carelessness or negligence of any Released Party or anyone else. 6. I am aware that there is no obligation for any person to provide me with medical care during the Activity. I understand and acknowledge that: a. there may be no aid stations available for the Activity. b. if medical care is rendered to me, I consent to that care if I am unable to give my consent for any reason at the time the care is rendered. 7. I am aware that it is advisable to consult a physician prior to participating in the Activity. If I have consulted a physician, I have taken the physician’s advice. 8. No warranties or representations have been made to me about the Activity which are not stated on this form. I understand and intend that this document act as the broadest and most inclusive assumption of risk, waiver, release of liability, agreement not to sue and indemnity. 9. If any provision of this agreement shall be unlawful, void or for any reason unenforceable, then that provision shall be deemed severable from this agreement and shall not affect the validity and enforceability of any remaining provisions. 10. I have fully read and understand this agreement. I am aware that by signing this agreement, I am waiving certain legal rights I or my heirs, next of kin, executors, administrators and assigns may have against the Released Party. * YES TYPE YOUR FULL LEGAL NAME BELOW TO SIGN THIS DOCUMENT AND IT WILL REPLACE YOUR DIGITAL SIGNATURE AS LEGALY BINDING * Thank you! Please take a SCREENSHOT of this page to present to the instructor at your first class.