GYM MEMBERSHIP WAIVER

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, ___________________________ (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 signing this Release and Waiver of Liability, 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.
Date | Name (please print) |
PHONE Number | Signature |
Address | |
E-Mail | |
Signature of Parent or Guardian (if under 18) | |