HOLD HARMLESS AGREEMENT/RELEASE OF LIABILITY FORM
|Member Full Name:
|Cell Phone Number:
I hereby understand and acknowledge that the training, programs and events held by Great Vibrations may expose me to many inherent risks, including accidents, injury, illness, or even death. I assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/ or humidity, and all other such risks being known and appreciated by me. I acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and Great Vibrations furnishing services to me, I agree for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE, AND RELEASE Great Vibrations, its officers, agents, employees, organizers, representatives, and successors from any responsibility, liabilities, demands or claims of any kind arising out of my participation in Great Vibrations training, programs and/or events. By my signature I indicate that I have read and understand this Waiver of Liability. I are aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
I understand Great Vibrations requires members to schedule their classes in advance. Members are responsible for cancelling scheduled class if unable to attend. If unable to cancel through the scheduling tool, please email email@example.com or text 402-917-5762. A no show fee of $25.00 per incident may be charged at our discretion when no attempt to contact us has been made.
Great Vibrations employs the use of the software which includes the ability to enter into agreements and/or to make transactions electronically. MEMBER ACKNOWLEDGES THAT ELECTRONIC SUBMISSIONS CONSTITUTE YOUR AGREEMENT AND INTENT TO BE BOUND BY AND TO PAY FOR SUCH AGREEMENTS AND TRANSACTIONS. YOUR AGREEMENT AND INTENT TO BE BOUND BY ELECTRONIC SUBMISSIONS APPLIES TO ALL RECORDS RELATING TO ALL TRANSACTIONS YOU ENTER INTO ON THIS SOFTWARE, INCLUDING NOTICES OF CANCELLATION, POLICIES, CONTRACTS, AND APPLICATIONS.
GREAT VIBRATIONS, LLC., 3319 N 109th PLAZA, OMAHA, NE 68164
PH: (402) 917-5762 – INFO@GREATVIBRATIONSFITNESS.COM
REVISED: September 28 2017