Exercise and Sports Training Liability Release Waiver


By execution hereof, I understand, acknowledge and agree that my voluntary participation in any exercise training session or sports training camp, whether in an individual, group, or camp setting (the “Event”), sponsored by The Fortis Academy, LLC, BzBody Fitness, LLC, Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall or any of its affiliates or subsidiaries involves strenuous physical activity and potential risk of injury.  I understand and acknowledge that The Fortis Academy, LLC, BzBody Fitness, LLC, Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall employees, agents or contractors are not trained physicians, and I have or had the opportunity to consult with my physician prior to engaging in the Event. As such, I hereby agree to accept any and all risk of injury, including, without limitation, death, in connection with my participation in any such event.

In consideration of my participation in any such Event, I further agree that neither I nor my spouse, partner, assignees, heirs, guardians, successors or legal representatives, or anyone claiming through me or any of them, directly or indirectly (collectively, “Representatives”), shall make a claim against, sue, and/or attach the property of The Fortis Academy, LLC, BzBody Fitness, LLC,  Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall for any sort of injury or death I may suffer in connection with my participation in any such Event.  Further, on behalf of myself and my Representatives, I hereby agree to hold harmless and release The Fortis Academy LLC, BzBody Fitness, LLC, Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall from liability and waive any and all claims whatsoever against The Fortis Academy, LLC, BzBody Fitness, LLC,  Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall for any injury or death that I may suffer during the course of, or proximately caused by, my participation in any such Event, whether due to the negligence, or any other act, however caused, of any The Fortis Academy, LLC, BzBody Fitness, LLC, Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall, its employees, agents or contractors.

Consent for Movement Assessments with Viverant Physical Therapy

I do hereby voluntarily consent to such care encompassing diagnostic procedures and medical treatment as ordered by the prescribing physician, his/her assistant(s), consultant(s), as is necessary in his/her professional judgment. I assume responsibility for discussing and understanding my proposed treatment and goals based on the evaluation with my practitioner, as well as expected benefits and potential risks and drawbacks of the evaluation and service, and understand treatment does not guarantee an improvement in patient’s current condition.

If being seen at the Fortis Academy,  I agree that all activities and use of facilities shall be undertaken by guest at guest’s sole risk. Viverant, and the Fortis Academy shall not be liable for any claims, demands, injuries, damages, or actions whatsoever to guest or guest’s property arising out of or connected with the use of any of the services and facilities of the club or the grounds on which the club is located. The guest does expressly forever release and discharge the club from all such claims, demands, injuries, damages, or actions; and from all acts of active or passive negligence on the part of the partnership which owns the club, its partners, agents and employees.

I give Viverant consent to utilize photos, videos, and/or written/verbal testimonials for marketing purposes, and authorize Viverant to utilize my contact information, such as email addresses or phone numbers, to correspond with me information not considered Protected Health Information (PHI). 

Consent to Use Photos and Videos for Promotional Purposes

I have carefully read this Exercise and Sports Training Waiver and Release Agreement, fully understand its contents, and understand that it is a legally enforceable and binding contract. I hereby release the use of photos and videos taken during the Events to be used for promotional purposes only for The Fortis Academy, LLC BzBody Fitness, LLC, Terry Lynner, Pro-T, LLC, High Goals, LLC and Champions Hall.

Athlete Name:  

Athlete Birthdate (MM/DD/YYYY):  

PARENTAL AGREEMENT FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.

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Signature Certificate
Document name: Exercise and Sports Training Liability Release Waiver
lock iconUnique Document ID: 9efda83d0f777fb3c3dce39a656d32e8e8fe126d
Timestamp Audit
February 20, 2019 12:46 pm EDTExercise and Sports Training Liability Release Waiver Uploaded by Josh Levine - josh@thefortisacademy.com IP 66.147.244.172