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POSITIVE IMAGE FITNESS LIABILITY WAIVER AND CONSENT FORM

To complete your membership purchase for Positive Image Fitness, please read and agree to the following information

I have enrolled in a membership, classes or a personalized exercise and training program offered by Positive Image Fitness.  I understand there are inherent risk in participating in a program of strenuous exercise.  I recognize that the one-on-one training, open gym hours and group programs offered at Positive Image Fitness may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, spin, yoga and other various fitness activities.  I hereby affirm that I am in good physical condition and do not suffer from any know disability or condition which would prevent or limit my participation in this exercise program.  I acknowledge that my enrollment and subsequent participation is purely voluntary and in no way mandated by Positive Image Fitness.  Further I affirm that I am aware of the risks of using the equipment offered at Positive Image Fitness including, but not limited to, kettle bells, barbells, dumbbells, BOSU balls, stability balls, rowers, suspension trainers and Stages SC1 bikes.

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I agree that Positive Image Fitness shall not be liable or responsible for any injuries to me resulting from my voluntary participation and enrollment in one on one training or group fitness program and I expressly release and discharge Positive Image Fitness  and it's owners, employees, agents and/or assigns from all claims, actions, judgments and the like which I or my heirs, executors, administrators or assigns may have claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program, excepting only an injury caused by the gross negligence or intentional act of such persons.

This release shall be binding upon my heirs, executors, administrators and assigns.

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I fully understand that I may injury myself as a result of my enrollment and subsequent participation in the training and programs at Positive Image Fitness.  I hereby release Positive Image Fitness and its coaches/trainers from any liability now or in the future for conditions that I may obtain.  These conditions may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot or any other illness or soreness that may occur, including death.

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I understand that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training sessions.  I understand that should feel lightheaded, faint, dizzy, nauseated or experience pain or discomfort, I am to stop the activity and inform my instructor.

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I understand the result of any fitness program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions.

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I understand that the usage of any nutritional supplements is done under my own free will.

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I have read the statements of this legal document, understood the statements of this legal document and agree with its terms and conditions.  I understand that this document is complete unto itself and that any oral promises or representations made to me concerning this document and/or its terms and conditions are not binding upon Positive Image Fitness, its officers, agents and/or employees.  I have voluntarily signed it and execute it voluntarily with full knowledge of its meaning, its significance and implications.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS, I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING M Y RIGHT TO SUE.  I ACKNOWLEDGE THAT I AM SIGNING THE AGREEMENT FREELY AND VOLUNTARILY.

 

POSITIVE IMAGE FITNESS GYM RULES AND REGULATIONS:

Positive Image Fitness members, and their guests are expected to abide by these rules and well as the membership rules.  Any violation of the Rules may subject the Positive Image Fitness Member to suspension or forfeiture of their membership.

Sign in is required for each one-on-one training session or class attended, spot reservation is available.

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Positive Image Fitness enforces a 10-hour cancellation policy to remove yourself from class through the Positive Image Fitness App, however, as a courtesy we ask you to try and give 24 hours notice allowing members from the waiting list to receive ample notification and/or make a class reservation.  Failure to appropriately cancel your reservation and/or notify Positive Image Fitness of inability to attend class will result in a class package deduction OR if you are on an unlimited membership and you late cancel or NO SHOW less than 10 hours, we reserve the right to charge $10 to your account on file.

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Sign in is required for each class attended.

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Suitable gym footwear and clothing is required inside the gym.  Please no flip flops, bare feet or outdoor footwear in the workout areas.  CLEAN, DRY FOOTWEAR IS REQUIRED IN THE GYM AND SPIN ROOM.

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Use our disinfectant cleaning supplies to wipe down equipment after before and after use.

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Good order, proper attire, decorum and consideration of the rights and comfort of others must be observed at all times.

No dropping of dumbbells, plates or bars.  You lift, you lower!

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Any children present in the facility are the express responsibly of their parent/guardian.  The Positive Image Fitness staff shall not be held responsible for any injuries/harm incurred by the child as a result of the misuse of equipment. 

Positive Image Fitness will not be responsible for loss or damage to any personal property of the Positive Image Fitness member or their guests.

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ALL MEMBERS AND GUEST UTILIZE ALL EQUIPMENT AND FACILITIES AT THIER OWN RISK. 

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PAYMENT TERMS:

* All memberships automatically renew at the end of there term unless 30 days cancellation notice is given

*A membership is not transferable 

*Classes packages expire in 12 months and are non-transferable

*30 days notice to cancel your membership

*10-hour cancellation policy for classes

*Class reservations are mandatory and cannot be made without a valid membership, class package and payment.

*NO SHOW classes will result in a $10 charge.

*Members will notify Positive Image Fitness of any change in address or contact information.

*Holds may be placed on the memberships for medical reasons, for other reasons they must talk to the facility owner.  Once a membership is placed on hold for medical reasons they must be cleared for physical fitness by their doctor prior to returning to one on one training or group training.  If memberships are placed on hold for any other reason besides medical, they may do so for a minimum of 2 weeks and a maximum of no more than 1 month.  Please note that the published rates at the time of the re-activation will apply.

*Class packages are non-refundable

Positive Image Fitness reserves the right to terminate membership privileges, without refund, with failure to comply with the terms and conditions including rules of the gym.

*Positive Image Fitness assumes no responsibility for lost or stolen items left on the premises.  Lost and found is emptied every month.

 

Photo Release

I hereby grant Positive Image Fitness permission to use my likeness in a photograph and/or video in any and all it’s media, on-line, social media, and written publications without compensation or any other consideration

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I understand and agree that these materials will become the properly of Positive Image Fitness and will not be returned.  I hereby irrevocably authorize Positive Image Fitness to edit, alter, crop, exhibit, publish or distribute photos for the purposes of publicizing Positive Image Fitness’s programs or for any other lawful purpose.  

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In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.

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I have read this release before signing below and I fully understand the contents, meaning and impact of this release.

 

COVID 19 WAIVER 

By entering this facility, you are aware that you agree to fully accept all known and unknown risks, including the potential risk of exposure to respiratory illnesses such as the coronavirus (COVID-19). The coronavirus is primarily transmitted via exhaled respiratory droplets, most often through coughing and sneezing. These droplets can travel up to six feet and are more commonly transmitted between persons rather than from equipment to persons.

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Although we regularly sanitize our equipment and presently are using enhanced cleaning methods and enforcing social distancing in our facility, you understand that you may be exposed to the coronavirus or its symptoms through no fault of our own. Known coronavirus symptoms include fever, coughing, shortness of breath, pneumonia, kidney failure, and may include other symptoms, stroke or even death (collectively “Symptoms”). You understand and agree that you will hold us harmless and you will not hold us liable for any real or perceived Symptoms of COVID-19 or any other disease, illness, or condition, nor for exacerbating any existing symptoms, and you fully agree to accept all risks of entering the facility, using the equipment, working with personal trainers, attending classes, and/or interacting or being exposed to other members.

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Thanks for submitting the liability and consent form. We cannot wait to see in person or online!

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