Waiver & Liability Form

You have agreed to purchase a membership at Ship City Fitness LLC that allows you access at any time. As such, you are aware that there will be NO SUPERVISION OR ASSISTANCE DURING CERTAIN HOURS. You are also aware that if you are injured, become unconscious, suffer a stroke or heart attack, that there will likely be no one to respond to your emergency and this facility has no duty to provide assistance to you. Even though this facility is equipped with surveillance cameras, if it is likely that you should require immediate assistance none will be provided. We HIGHLY recommend that you have a workout partner accompany you while at the club, but it is entirely up to you.

Name *

First

Last

Todays Date *

I understand that the use of Ship City Fitness facilities, equipment, merchandise, services and programs (including but not limited to personal training and group exercise, & martial arts tuition) involves an inherent risk of personal injury, dismemberment and death to myself, guests and invitees.

I understand that I am voluntarily allowing myself to participate in these activities and assume any and all risks of injury, dismemberment and/or death which may result. I agree to waive any claims or rights I might otherwise have to sue Ship City Fitness LLC, Staff, Agents, Representatives, and all others from any responsibilities or liability from injuries, dismemberment, death or other damages to myself as a result of these activities.

I understand that it is my responsibility to speak out regarding personal injury or pain at anytime. Including before after or during any instruction. I understand and agree that upon notice of injury the instructor may choose to have me stop activity for a prolonged period of time or be evaluated by a physician in order to continue activity. I understand that if I choose not to seek out this assessment than I am inherently taking on an additional risk of injury to myself.

I hereby release all of Ship City Fitness employees, instructors and others acting on their behalf from any responsibility or liability for any injury, dismemberment, death or other damage to myself to include; those caused by negligence and/or omission of nay of those mentioned above or others connected with my participation in my activities of Ship City Fitness.

I understand that Ship City Fitness provides lockers for day use and that it is my responsibility to bring a lock if I so choose to use a locker. I agree that Ship City Fitness shall not be liable to any member, students, guests or invitees for any personal property that is damaged, lost or stolen while on or around Ship City Fitness premises, including but not limited to, any vehicle and its contents. I agree to take discretion with my personal items and take full responsibility for them. I fully release Ship City Fitness from any liability claims of any and all lost and stolen items.

I understand that I am required to be healthy to participate in physical activities. It is my responsibility to obtain clearance from a practitioner, including but not limited to annual physical exam, to determine that, I myself am healthy to participate in physical activities involving strength and cardiovascular demands. I understand that if I do not obtain clearance I personally take on the potential risk to myself. I hereby release Ship City Fitness of any responsibility to determine health before, during or after involvement of any physical activity. I understand that I have authorized that I am able to participate in physical activity at Ship City Fitness.

I understand that the facilities are located in Maine which has quickly changing weather patterns. I agree, to use my discretion when entering and exiting the building. I understand that there are three entryways into the Ship City Fitness and that it is my choice to enter the building at any entry point. I agree that it is the decision of myself to enter and/or exit any of the three portals. I agree that it is my responsibility to use my discretion to determine safety. I understand that if I determine that it is unsafe to enter or exit at anytime than it is my responsibility to attain assistance. I hereby release Ship City Fitness, Senter Place, individual employees and or instructors from any claim of damage due to fall, inside, outside of and/or on the premise of Ship City Fitness including but not limited to inclement weather.

I give permission for my image to be taken purposely and unknowingly for any reason. I waive any and all rights to any photographs, videos or other imaging media obtained by Ship City Fitness LLC. I understand that at anytime Ship City Fitness may take photographs, videos and other media for marketing purposes.

Signature *

By signing above, you agree to the terms listed above and acknowledge the following. You have agreed to purchase a membership at Ship City Fitness LLC that allows you access at any time. As such, you are aware that there will be NO SUPERVISION OR ASSISTANCE DURING CERTAIN HOURS. You are also aware that if you are injured, become unconscious, suffer a stroke or heart attack, that there will likely be no one to respond to your emergency and this facility has no duty to provide assistance to you. Even though this facility is equipped with surveillance cameras, if it is likely that you should require immediate assistance none will be provided. We HIGHLY recommend that you have a workout partner accompany you while at the club, but it is entirely up to you.