Participation Waiver Date* MM slash DD slash YYYY Name* First Last Email* Participation Waiver I am hereby informed by Fusion Fitness Studio of the need for a Physicians Approval in order to participate in this fitness program. I understand the strenuous nature of exercise and have volunteered to participate in this program. I am encouraged to stop or rest at ant time I feel over exerted. I acknowledge that I alone can determine when I am at a level of exertion that could be detrimental to my health. I expressly agree that all exercises shall be undertaken by me at my sole risk. Fusion Fitness Studio shall not be liable to me for any damage whatsoever to my person or property arising out of or in connection with my participation in the program, or the use of the facilities and premises where the program is located. I do hereby expressly forever release and discharge Fusion Fitness Studio from all claims, demands, injuries, damages, actions or causes of action arising from any of the foregoing and from all acts of active or passive negligence on the part of said Studio, its agents or employees. Signature:* Δ
