Terms and Conditions
I, _______________________________, have enrolled in a program offered through CLUB XO FITNESS INC.
I recognize that the program may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program.
I acknowledge that my enrolment and subsequent participation is purely voluntary and is in no way mandated by CLUB XO FITNESS INC.
In consideration of my participation in this program, I, ______________________, hereby release CLUB XO FITNESS INC. and its agents from any claims, demands, and causes of action as a result of my voluntary participation and enrolment.
I fully understand that I may injure myself as a result of my enrolment and subsequent participation in this program and I, ____________________________, hereby release CLUB XO FITNESS INC. and its agents 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, strokes, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, injuries to knees or other joints of the body, injuries to back, injuries to a foot, heat prostration, or any other illness or soreness that I may incur, including death.
I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.
_________________________________ (Participant’s signature)
_________________________________ (Witness) ___________________ (Dat
FOR CHILDREN: (signed by parent/guardian)
Release, Acknowledgement of Risk, and Waiver of Liability for Use of Club XO Fitness Inc.
MUST BE COMPLETED BY ALL PARTICIPANTS (Or by parent/legal guardian if participant is under 18 years of age)
I, ____________________________________, on behalf of myself and anyone claiming on behalf of me, my child, or of
(Name of Adult Client OR Name of Parent/Legal Guardian) the child identified below,
do hereby forever release, hold harmless, agree not to sue, forever, the owners of Club XO Fitness Inc. (""Club XO""), or its employees/staff, trainers, coaches, independent contractors, volunteers, interns and agents (all referred to and included as, ""Club XO"") from any and all claims, demands, causes of action, judgment, damages, expenses and costs (including attorneys' fees), including, but not limited to, claims of negligence on account of personal injury, bodily injury, mental injury, property damage, death or accident of any kind, sustained by me or my/the child identified below, that arises out of my or my/the child's use of Club XO's equipment, my or my/the child's presence in or near, or participation in, classes, appointments, training sessions, conducted at or near Club XO(""the Fitness Activity""), whether or not caused by the the negligence, intentional acts or omissions of Club XO or Club XO Fitness Inc, which I may, or my/the child may have, now or hereafter and which the below-named child has or hereafter may acquire, either before or after my/the child reaches the age of majority.
I understand, recognize, and acknowledge that there are inherent risks in participating in the Fitness Activity and with being in or near a training centre. It is my responsibility to ask questions about any aspect of the Fitness Activity that has not been explained to my satisfaction. I hereby voluntarily assume any and all risks, including injury to person and property, related to my participation and/or my/the child's participation in any Fitness Activity. I and my/the child voluntarily, participate in the Fitness Activity at Club XO, and use Club XO equipment with full knowledge of the risks involved.
Club XO excludes any and all liability for death, injury or damage, arising out of the Fitness Activity, including, but not limited to, the client carrying out exercises incorrectly, or contrary to the instructions of Club XO, or carried out without the supervision or presence of Club XO, and/or contrary to the advice of a health professional.
I understand Club XO recommends I consult with a physician before participating in the Fitness Activity, and/or using any fitness equipment, and that Club XO has no medical expertise in determining the effect of any specific fitness activity, or equipment, on a medical condition.
I understand I (for myself or on behalf of my/the child) am required to complete a Physical Activity Readiness Questionnaire (a ""PARQ"") before participating in any fitness activity, and confirm that I or my/the child are in good physical condition, that I or my/the child have no known condition, or are undergoing any treatment, that would prevent me/them from being capable of engaging in physical exercise (active or passive), and that such exercise would not be detrimental to my/their health safety or physical comfort. I understand and agree that it is my responsibility to inform Club XO of any concerns or changes to me or my/the child's health, now and ongoing, which might affect me or my/the child's ability to exercise safely and with minimal risk of injury. Club XO cannot be held liable in any way for undeclared or unknown medical conditions.
In signing this Release, Acknowledgment of Risk, and Waiver of Liability, I hereby acknowledge that I have read this entire document, that I understand its terms, that I have signed it knowingly and voluntarily, and that I intend it to bind me and, as applicable, my/the child and anyone claiming on behalf of me or my/the child.
I understand that I must abide by and follow all rules and policies outlined in the Terms and Conditions, set out at or provided by Club XO, and I agree to maintain a standard of behavior, professionalism, and safety.
(If participant is OVER 18 year of age)
Print Legal Name: _________________________________________________
Signature: _______________________________________________________ Date: __________________________
Emergency Contact Name/Relationship: _______________________________ Phone Number: __________________
(If participant is UNDER 18 years of age)
Print Child's Legal Name: __________________________________________
Print Parent's/Legal Guardian's Name: ________________________________
Signature of Parent/Legal Guardian: __________________________________ Date: __________________________
Phone Number: __________________________________________________ (knv 17.05.05)