Masayrk Community Gym
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Confirm Your Reservation
at on , , 2022
Location
Please Confirm Your Reservation
at on , , 2022
Location
Terms & Safety
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity,THE FOLLOWING ENTITIES OR PERSONS:AIME LEON DORE INC. and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) TO THE FULLEST EXTENT PERMITTED BY LAW, I AGREE TO DEFEND, INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that AIME LEON DORE and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person's physical limits and carries with it the potential for serious injury or death, and property loss. The risks include, but are not limited to, those caused by terrain, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
I acknowledge that I have not paid and am not paying a fee or other compensation for the use of the facilities and/or equipment.
RELEASE
I hereby grant Aime Leon Dore, Inc. (“ALD”) permission to use my likeness in a photograph, video or digital or other medium in any and all of its publications, including website entries, or promotional materials without payment or any other consideration.
I understand and agree that these materials containing my likeness will become the property of ALD and will not be returned, nor will I be given or have a right to a copy. I hereby irrevocably authorize ALD to edit, alter, copy, exhibit, publish or distribute my likeness for any lawful purpose.
In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my likeness.
I hereby hold harmless and release and forever discharge ALD from all claims, demands, and causes of action that I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I have reached the age of majority and am competent to contract in my own name. Alternatively, if I have not reached the age of majority, I have obtained the consent of my parent or guardian below. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE AND I SIGN IT OF MY OWN FREE WILL.
Reservation Confirmed
Your reservation for at on , , 2022 is confirmed.