Terms and Conditions

ASSUMPTION OF PERSONAL RISK AND WAIVER OF LIABILITY CLIENT INFORMATION Last Name First Name Middle Initial Phone (Home) Phone (Work) E-mail Escape provides a rigorous weight and cardio training regimen designed to achieve a full fatigue workout of all major muscle groups. The Client must complete and sign the Health and Fitness Statement. The Client represents that he/she is in good health without physical impairment and has a physician’s approval to participate. Client is urged to obtain periodic physical examinations and seek medical advice from qualified medical service providers in the event of injury or any other health concerns that are present or may arise. Escape is not responsible for any injury, including death or loss of property to any person suffered while on the premise or participating in the use of its facilities for any reason including, but not limited to, the utilization of any equipment or the playing, practicing or spectating of any activity occurring in or about its premises. THE CLIENT HEREBY AGREES AS FOLLOWS The client acknowledges that, by use of exercise facility or services provided by Escape, he/she is engaging in a strenuous weight and cardio training regimen designed to achieve full fatigue workout of all major muscle groups and that there are inherent risks associated with such training. Initial ________ The client acknowledges that the use of exercise equipment could cause injury or may contribute to various health issues. The client is voluntarily participating in these activities and assumes all risks of injury or health concerns that might result from such use. Initial ________ The client represents that he/she is in good health without physical impairment or ailment or any medical conditions that may or should limit his/her ability to participate in physical training exercises. Initial ________ The client agrees to immediately notify Escape of any changes to his/her physical, mental, or health conditions that may or should affect his/her ability to participate in physical training exercises administered by Escape. Should such changes arise, or upon the request of Escape, the Client agrees to provide a written consent from their physician to participate in the Escape program, in a form to be approved by Escape. The Client acknowledges and agrees that their membership will be suspended from the date such request is made by Escape, until such time as they provide their physician's consent. During the suspension of their membership, the Client may not work out, and any missed sessions will be forfeited. Initial ¬¬________ The client hereby waives any claims against Escape, its owners, members, agents, or employees for any injury or health issues arising out of the use of the facility or services. Initial ________ The client agrees to hold harmless Escape, its owners, members, agents, or employees from any liability, loss or theft of personal property. Initial ________ Client’s Signature Date