Heart and Hustle Fitness Liability Waiver (7160)
160 Main St South, Brampton Ontario, L6Y 1N2
905 216 4080
AUTHORIZATION, RELEASE & ACKNOWLEDGEMENT AGREEMENT
**PLEASE READ CAREFULLY**
Release: I agree to release Ace’s Paige Inc. (o/a Heart and Hustle Fitness, hereby referred to as “Heart and Hustle”) and all of its associated companies, affiliates, successors, agents, employees, contractors, representatives, directors and officers and heirs thereof (collectively, the “Releasees”), and/or the facility and/or events that I attend from any and all claims and liabilities whatsoever arising from participation in or attendance at one or more of Heart and Hustle’s current or future programs, due to any cause whatsoever including without limitation the negligence of Heart and Hustle or any of the Releasees, by myself, my child(ren) or any associated spectator(s).
Waiver of Claims: I hereby waive any and all claims I may now and in the future have against any/all of the Releasees and I agree not to sue any/all of the Releasees for any personal injury, death, property damage or other loss, sustained by me in connection with, or as a result of, my participation in one or more of Heart and Hustle’s current or future programs, due to any cause whatsoever, including without limitation the negligence of Heart and Hustle or any of the Releasees.
Acknowledgement of Risk: I acknowledge that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: slips, falls, physical contact with another person, malfunction of equipment or facilities, improper use of equipment or facilities and negligence on the part of myself, my training partner, any of the Releasees, or any other person. I further acknowledge that any of the above mentioned risks may result in serious injury or death.
Assumption of Risks: I hereby assume and accept all of the dangers and risks connected with, or related in any way to, my participation in any activity, class or program while at Heart and Hustle, including the possibility of personal injury, death, property damage or loss resulting from any of the foregoing. I acknowledge that I have no physical impairments or illnesses that will endanger myself or others.
No Representation: In entering into this Agreement, I confirm that I am not relying on any representation or statement by Heart and Hustle, or any of their Releasees, whether oral or in writing, to induce me to participate in any current or future Heart and Hustle event and/or program whether it be in at our facility, online, or at any host location. Any current or future program I attend will be at my own risk.
Continuation: I acknowledge and agree that this Agreement will continue for future programs and that I will not be given additional Registration Forms for each additional future program. I acknowledge that I am responsible to notify Heart and Hustle of any change in relevant personal information, including medical information and contact information, as included on this form. I further acknowledge that I am responsible to expressly indicate to Heart and Hustle, withdrawal of any authorization, release, or acknowledgement, whatsoever
Medical Treatment: In the event of an emergency I authorize Heart and Hustle to use its’ reasonable discretion, on behalf of myself, my child(ren) or associated spectator(s) participating in or attending at one or more of Heart and Hustle’s current or future programs, in rendering first aid treatments and/ or arranging for emergency medical care (including hospitalization), at the expense of myself.
Photographs: I authorize Heart and Hustle to take photographs or video footage to be used for the purposes of promotion and training.
Communication: I consent to receiving communication through text message from Heart and Hustle Fitness. I further consent to receiving communication through email from Heart and Hustle Fitness.
Binding Agreement: I accept that this Agreement constitutes a legally binding obligation enforceable in accordance with its terms, and that it shall continue to bind myself and my heirs, executors, legal representatives and personal assigns. I understand that by signing this Agreement I am giving up my legal rights including the right to sue
Cancellation Policy: I have read, understand and consent to the cancellation policy associated with the membership package, or attendance package that I have chosen.
I hereby confirm that I am 18 years of age, that I have completely read this Agreement and that I fully understand the provisions of this Agreement. I confirm that the information I have provided is true and I understand that by signing this Agreement I am giving up my legal rights including the right to sue.