WAIVER AND RELEASE OF LIABILITY - Kids Waiver

In agreeing to participate in the fitness and health classes and services offered on-line by Health Education and Training Center of Gainesville, Incorporated, d/b/a H.E.A.T., I agree as follows:

I fully understand and acknowledge that recreational and fitness activities have:

(a)    Inherent risks, dangers, hazards and such inherent risks exist with the fitness and health classes and services offered by H.E.A.T.;

(b)    My participation in such fitness and health classes and services offered by H.E.A.T. may result in injury or illness including, but not limited to, bodily harm, disease, strains, fractures, partial and/or total paralysis, death, or other ailments that could cause serious disability.

(c)    These risks and dangers may be caused by the negligence of the representatives, employees, trainers or volunteers of H.E.A.T., the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes.

(d)    By my participating in these the fitness and health classes and services offered by H.E.A.T., I hereby assume all risks and dangers and all responsibility for any losses and/or damages whether caused in whole or in part by the negligence or the conduct of the representatives, employees, trainers or volunteers of H.E.A.T., or by any other person.

In accepting the foregoing risks, I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify H.E.A.T., and its representatives, employees, trainers and volunteers, from any and all responsibility, demands, actions, claims of any type or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my participation in the fitness and health classes and services offered by H.E.A.T.

I  hereby grant and authorize Health Education and Training Center of Gainesville, Inc. the right to take, edit, alter, copy exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for legally promotional materials including but not limited to, newspapers flyers, posters, brochures, advertisements, fund raising letters, communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets now known or hereafter advised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. 

I understand and agree that these materials shall become the property of Health Education and Training Center and will not be returned. 

I hereby hold harmless, and release Health Education and Training Center from all liability petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate. 

I warrant that I am of the age of consent (18 years or older) and that I am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning and impact of this release. 

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING BELOW I ACKNOWLEDGE THAT I UNDERSTAND THE WAIVER AND RELEASE.  I AGREE NOT TO HOLD HEALTH EDUCATION AND TRAINING CENTER OF GAINESVILLE, INCORPORATED, D/B/A H.E.A.T., NOR ANY OF H.E.A.T’S REPRESENTATIVES, EMPLOYEES, TRAINERS AND VOLUNTEERS LIABLE FOR ANY PERSONAL INJURY, PROPERTY DAMAGE, WRONGFUL DEATH, CAUSED BY MY OWN NEGLIGENCE OR BY THE NEGLIGENCE OF H.E.A.T., OR ANY OTHER CAUSE.

Child’s name:___________________________________________________

Parent Legal guardian/printed: _____________________________________

Parent Legal guardian/signature: _____________________________________

Email address:_______________________________________________________

Date: ________________