Informed Consent and Release of Liability
This form is an important legal document. It explains the risks you are assuming by beginning an exercise program, and with your signature releases Moms on the Run, LLC, the facilities in which we meet, and any employee, contracted instructor or volunteer coach from all liability. It is critical that you read and understand it completely.
In consideration of being allowed to participate in the fitness training activities and programs of Moms On The Run, LLC, and any paid or volunteer coaches for these organizations, and to use any of their facilities, equipment and services, I do hereby forever waive, release and discharge Moms On The Run, LLC, the facilities in which we meet, and any employee, contracted instructor or volunteer coach from any and all claims or liabilities for injuries or damages to my person and/or property, including those caused by any negligent act of a coach or an instructor, arising out of or connected with my participation in any of their activities or services, or the use of any equipment recommended by them.
I have been informed of, understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, are potentially hazardous activities. I recognize that exercise activities might be difficult and strenuous. I also have been informed of, understand and am aware that fitness activities involve a risk of injury, including a remote risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.
I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I do hereby acknowledge that I have been informed of the need for a physician’s approval regarding certain health conditions, for my participation in the exercise activities, programs and use of exercise equipment. I also acknowledge that it has been recommended that I have physical examinations and consultations with my physician at least yearly regarding physical activity and use of exercise equipment. I acknowledge that either I have had a physical examination and have been given my physician’s permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment.
I understand classes will be conducted according to local and state health guidelines to the best of the instructor's abilities and that these guidelines may change from time to time. I agree to follow all class policies. I understand participating in group programs increases my risk of contracting communicable diseases, including Covid-19. I agree to abide by all health-related policies and to assume all risk associated with my participation in classes and group activities.
I understand further that with the participation of a mother and child fitness class such as “Moms on the Run” there are additional risks, including all of the risks associated with carrying a child, use of a stroller, or having them along for the workout. These include the risk of minor injuries and the remote risks of death or serious disability. I understand that there may be additional risks to children in an indoor location with fitness equipment, and that children are not recommended at these locations. I agree to make the safety of my baby or child my first priority in this exercise program and to make decisions and act accordingly. I agree to take personal responsibility for any behavior of children in my care that may impact the safety of others. I do hereby forever waive, release and discharge Moms on the Run LLC, the facilities in which we meet, and any employee, contracted instructor or volunteer coach from any and all liability for injuries to my child and any children in my care (if applicable).
I am voluntarily participating in a program of physical exercise under the direction of Moms on the Run, LLC, which will include, but may not be limited to, walking, jogging and running. I understand that a coach or instructor providing and maintaining an exercise or fitness program for me does not constitute an acknowledgment, representation or indication of my physiological well-being or a medical opinion relating thereto. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.
I understand that any photographs or video taken at class and events may be used for promotional purposes. I agree that if I am not okay with this I will try to excuse myself and/or children from photos and notify the business owner of any photographs or video that should not be used.
In consideration of being allowed to participate in the fitness training activities and programs of Moms On The Run, LLC, and any paid or volunteer coaches for these organizations, and to use any of their facilities, equipment and services, I do hereby forever waive, release and discharge Moms On The Run, LLC, the facilities in which we meet, and any employee, contracted instructor or volunteer coach from any and all claims or liabilities for injuries or damages to my person and/or property, including those caused by any negligent act of a coach or an instructor, arising out of or connected with my participation in any of their activities or services, or the use of any equipment recommended by them.
I have been informed of, understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, are potentially hazardous activities. I recognize that exercise activities might be difficult and strenuous. I also have been informed of, understand and am aware that fitness activities involve a risk of injury, including a remote risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.
I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I do hereby acknowledge that I have been informed of the need for a physician’s approval regarding certain health conditions, for my participation in the exercise activities, programs and use of exercise equipment. I also acknowledge that it has been recommended that I have physical examinations and consultations with my physician at least yearly regarding physical activity and use of exercise equipment. I acknowledge that either I have had a physical examination and have been given my physician’s permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment.
I understand classes will be conducted according to local and state health guidelines to the best of the instructor's abilities and that these guidelines may change from time to time. I agree to follow all class policies. I understand participating in group programs increases my risk of contracting communicable diseases, including Covid-19. I agree to abide by all health-related policies and to assume all risk associated with my participation in classes and group activities.
I understand further that with the participation of a mother and child fitness class such as “Moms on the Run” there are additional risks, including all of the risks associated with carrying a child, use of a stroller, or having them along for the workout. These include the risk of minor injuries and the remote risks of death or serious disability. I understand that there may be additional risks to children in an indoor location with fitness equipment, and that children are not recommended at these locations. I agree to make the safety of my baby or child my first priority in this exercise program and to make decisions and act accordingly. I agree to take personal responsibility for any behavior of children in my care that may impact the safety of others. I do hereby forever waive, release and discharge Moms on the Run LLC, the facilities in which we meet, and any employee, contracted instructor or volunteer coach from any and all liability for injuries to my child and any children in my care (if applicable).
I am voluntarily participating in a program of physical exercise under the direction of Moms on the Run, LLC, which will include, but may not be limited to, walking, jogging and running. I understand that a coach or instructor providing and maintaining an exercise or fitness program for me does not constitute an acknowledgment, representation or indication of my physiological well-being or a medical opinion relating thereto. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.
I understand that any photographs or video taken at class and events may be used for promotional purposes. I agree that if I am not okay with this I will try to excuse myself and/or children from photos and notify the business owner of any photographs or video that should not be used.
