Avalon Gym and Healthitude Wild Activity Waiver

Name

First

Last

Email

Date

Phone

Emergency Contact name and phone number

Have you been diagnosed with COVID-19? If yes, when?

Are you 18 or older?

Guardian Name

First

Last

Guardian Email

Guardian Phone

I am here for

Participants agree to waive the following rights:

Participants and their guardians agree to waive the following rights:

I/We hereby understand and acknowledge that the training, programs and events held by Healthitude LLC and Healthitude Wild, (in or outside of Avalon Gym), may expose me to many inherent risks, including accidents, injury, illness, or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me.
I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in.
After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Healthitude Social furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Healthitude Social, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in Healthitude LLC and Healthitude Wild training, programs and/or events.
By my signature I/We indicate that I/We have read and understand this Waiver of Liability and the Gym Rules posted by Avalon. I agree to abide by the rules, and understand that violation of those rules may mean in the revocation of privileges and use of gym. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.

Participants and their guardians agree to waive the following rights:

I/We hereby understand and acknowledge that the training, programs and events held by Healthitude LLC and Healthitude Wild, (in or outside of Avalon Gym), may expose me to many inherent risks, including accidents, injury, illness, or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me.
I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in.
After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Healthitude Social furnishing services to me, I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Healthitude Social, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in Healthitude LLC and Healthitude Wild training, programs and/or events.
By my signature I/We indicate that I/We have read and understand this Waiver of Liability and the Gym Rules posted by Avalon. I agree to abide by the rules, and understand that violation of those rules may mean in the revocation of privileges and use of gym. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.

Date

Signature

Guardian Signature