Waiver and release of liability

In order to participate in ANY class, you must read and fill out the electronic waiver below. The information will not be shared. If you would like a hard copy of this form, please email me.

First Name

Last Name

Email Address

Phone Number

Date of Birth

RELEASE OF LIABILITY

READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS

In exchange for participation in the activity of Exercise class taught by Christy Erwin via zoom for Longevity Fitness By Christy organized by Longevity Fitness By Christy, of 6233 Sebring Drive, Columbia, Maryland, 21044 and/or use of the property, facilities and services of Longevity Fitness By Christy, I, _________________, of _________________, _________________, _________________ _________________, agree for myself and (if applicable) for the members of my family, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Longevity Fitness By Christy, or the employees, representatives or agents of Longevity Fitness By Christy.

2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Longevity Fitness By Christy for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Longevity Fitness By Christy, whether caused by the fault of myself, my family, Longevity Fitness By Christy or other third parties.

3. INDEMNIFICATION. I agree to indemnify and defend Longevity Fitness By Christy against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Longevity Fitness By Christy.

4. FEES. I agree to pay for all damages to the facilities of Longevity Fitness By Christy caused by any negligent, reckless, or willful actions by me or my family.

5. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Maryland law.

6. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Longevity Fitness By Christy has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

7. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

8. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

9. EMERGENCY CONTACT. In case of an emergency, please call _________________
(Relationship: _________________) at _________________ (Day), or _________________ (Evening).

Emergency Contact's Name and Phone Number

Agreement to Terms

I agree to the terms & conditions of the Waiver and Release of Liability document.

Electronic Signature

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request, obtain a paper copy of an electronic record. Your agreement to use an electronic signature for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. You also agree that no certification authority or other third party verification is necessary to validate your electronic signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your electronic signature or any resulting contract.

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