I {name} hereby acknowledge that I am voluntarily participating in Equipment Use, Personal Training, Self Defense Classes, Pilates, and/or Women's Strength Classes offered by Pink Lab Inc. I understand that the program may include strenuous, physical activity and I am fully aware of the risks and hazards involved.
I understand that it is my responsibility to contact my physician prior to and regarding my participation in the program and facility. I represent and warrant that I am in good physical condition and have no medical condition that would prevent my participation in the programs and use of the Pink Lab Inc facility.
In consideration of being allowed to participate in the program and use of this facility, I do hereby waive, release, and forever discharge Pink Lab Inc. and their respected officers, agents, employees, and representatives from any and all claims, damages, demands, rights of actions, causes of actions, present or future, arising out of or connected with my participation in this or any exercise program, including any injuries resulting therefrom.
This waiver and release of liability includes, without limitation, injuries which may occur as a result of any a) malfunction or breakage of any equipment, b) any slip, fall, or dropping of equipment, c) and/or improper maintenance of equipment, d) and negligent instruction or supervision, or e) any other cause whether foreseeable or unforeseeable by the parties hereto.
I acknowledge that I have carefully read this waiver and release of liability and fully understand its' contents. I voluntarily and knowingly agree to the terms and conditions stated herein.
{sign_date}
{name}