King Joes Barbell Club

622 E.Drinker St. Dunmore PA 18512

Electronic gym waiver

GYM MEMBERSHIP WAIVER

 

 

                                                                                                                   KING JOE’S 

                                                                                                                    

                                                                                                               BARBELL CLUB

 

 

PLEASE READ THIS CAREFULLY.

It affects any rights you may have if you are injured or otherwise suffer damages while participating in  KING JOE’S BARBELL CLUB Weightlifting Activities for the year 2009-2010.

I, Signee listed below____(participant) hereby release, waive, discharge and covenant not to sue KING JOE’S BARBELL CLUB, , and any of the officers, servants, agents and employees of the above-mentioned entities (hereinafter referred to as RELEASEES) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury, including death, that occurs as a result of my participation in the above-described activities.

I agree to indemnify and hold harmless the RELEASEES whether injury is caused by my negligence, the negligence of the RELEASEES or the negligence of any third party. I further agree that this Release and Waiver of Liability shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Release and Waiver of Liability shall be construed in accordance with the laws of the State of Pennsylvania

 

By completing this form and  clicking agree,  I state that I have read and understand the conditions set forth in this Release and that I agree to all conditions set forth herein, and that I sign this voluntarily.

*Electronic Signature ( By clicking agree you agree to all terms of the Waiver)
I agree to the terms of the waiver
I AM IN AGREEMENT WITH THE RELEASE ABOVE
agree
disagree
Training interests
Olympic Weightlifting
Powerlifting
Strongman
Highland Athletics
Fitness
Sport specific training
Gym events you would like to Compete in or help out at
King Joe's Invitational olympic lifting
Grip and Rip Deadlift
Anthracite Highland games
King of the Mountain Strongman
Gripmas Classic
What are your usual training days?
Mon
Tues
Wed
Thur
Fri
Sat
Sun
What time do you usually train?
Before 8:00
9:00 -11:00 a.m.
11:00-1:00 p.m.
1:00 - 3:00 p.m.
4:00 - 6:00 p.m.
6:00 - 9:00 p.m
After 9:00
1. I give the officers of the KING JOES BARBELL CLUB Club (also known as KJG) permission to use my name, and image on the website.
agree
disagree
2. I realize that this membership will be valid as long as I remain in good standing in the club. My membership will be voided if any club rules are violated and my key will be returned.
agree
disagree
3. I will obey all rules and regulation presented in the Club's Constitution and By-laws which are posted in each weight room
agree
disagree
4. I understand that failure to obey the rules, regulations and above information may result in fines( replacement of equipment) and/or loss of membership.
agree
disagree
5. I affirm that I have the skills and knowledge to safely use the free weights and machines in the KING JOES BARBELL CLUB Club.
agree
disagree
6. Membership is non-refundable
agree
disagree