Release/Assumption of Risk

In consideration of gaining access to participate in fitness training activities and programs of Peak Training, Smithers and to use its facilities, equipment and services, in addition to the payment of any fee or charge, I do hereby forever waive, release and discharge Peak Training, Smithers and its officers, agents, employees, representatives, executors and all others acting on their behalf from any and all claims or liabilities for injuries or damages to my person and/or property, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf, arising out of or connected with my participation in any activities, programs or services of Peak Training, Smithers or the use of any equipment at various sites, including home, provided by and/or recommended by Peak Training, Smithers. PLEASE INITIAL BELOW *

I acknowledge the existence of risks in connection with Peak Training, Smithers and assume such risks and agree to accept the responsibilities for any injuries sustained by my participation in the activities and programs. I understand and am aware that fitness training, including the use of equipment, is a potentially hazardous activity. I 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 with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death. I acknowledge and accept responsibility for injuries arising out of those activities that involve risk in any, but not limited to, the following areas: The use of Peak Training equipment, facilities and their equipment (schools, gyms, dressing rooms, playgrounds, fields, trails and any other indoor and/or outdoor space utilized)/The performance of any fitness training exercises including but not limited to strength [body-weight and weighted], conditioning, plyometrics, balance, stretching and core exercises/Participation in group activities. PLEASE INITIAL BELOW *

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. 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. PLEASE INITIAL BELOW *

I have read the preceding and acknowledge full understanding of those risks set forth and herein and knowingly agree to accept full responsibility for my own exposures to such risks and waive full responsibility and liability on behalf of Peak Training, Smithers. PLEASE INITIAL BELOW *

Participant Name *

Participant (Or Parent/Guardian for Under 18) Signature *

Clear

Witness Name *

Witness Signature *

Clear

Date *