Annie Kirschenmann Zumba® & Zumba Gold® Virtual Class Waiver
For access to these ZumbaVirtual classes, please complete this form. You only need to complete this form once, unless your circumstances change. I will send you the class details and codes as soon as possible after receiving your completed waiver. You can email me at coachannie@mac.com if you have questions. Thank you and see you in class! Annie
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ONLINE CLASS RELEASE OF LIABILITY. For and in consideration of Annie Kirschenmann ("Instructor") and Zumba Fitness, LLC ("Zumba") permitting the participant to enroll and participate in the Zumba virtual online classes ("Online Class"). Participant (which includes, but is not limited to, you and every person, adult or child, in the location where Online Class is being presented), by clicking "I AGREE" below, hereby voluntarily indemnifies, releases from liability, and holds harmless Instructor, Zumba, any and all additional presenters (collectively "Presenters"), and the Streaming Provider for any accident, injury, illness, death, loss, damage to person or property, or other consequences suffered by Participant or any other person arising or resulting directly or indirectly from Participant’s participation in the Online Class. In the event that Participant is injured, Participant agrees to assume any financial obligation, either through Participant’s personal health insurance, or through some other means, for any medical costs which Participant incurs. Instructor, Zumba, Presenters, and Streaming Provider assumes no responsibility for any medical expenses, injury, or damage suffered by Participant in connection with the use of any facilities or services in connection with the Online Class. PARTICIPANT SHOULD CONSULT HER/HIS PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL BEFORE JOINING THE ONLINE CLASS. THIS IS PARTICULARLY TRUE IF PARTICIPANT HAS A HISTORY OF HIGH BLOOD PRESSURE OR HEART DISEASE, OR IF PARTICIPANT HAS EVER EXPERIENCED CHEST PAIN WHEN EXERCISING OR HAS EXPERIENCED CHEST PAIN IN THE PAST MONTH WHEN NOT ENGAGED IN PHYSICAL ACTIVITY, SMOKES, HAS HIGH CHOLESTEROL, IS OBESE, OR HAS A BONE OR JOINT PROBLEM THAT COULD BE MADE WORSE BY A CHANGE IN PHYSICAL ACTIVITY. PARTICIPANT SHOULD NOT JOIN THIS ONLINE CLASS IF HER/HIS PHYSICIAN OR HEALTH CARE PROVIDER ADVISES AGAINST IT. IF PARTICIPANT EXPERIENCES FAINTNESS, DIZZINESS, PAIN OR SHORTNESS OF BREATH AT ANYTIME WHILE PARTICIPATING IN THE ONLINE CLASS PARTICIPANT SHOULD STOP IMMEDIATELY. IT IS THE INTENTION OF PARTICIPANT BY JOINING THE ONLINE CLASS TO EXPRESSLY ASSUME ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON HIM/HERSELF, TO THE EXCLUSION OF INSTRUCTOR, ZUMBA, PRESENTERS, AND STREAMING PROVIDER AND TO EXEMPT AND RELIEVE INSTRUCTOR, ZUMBA, PRESENTERS, AND STREAMING PROVIDER FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH. Participant further agrees that Participant, his/her spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, sue or attach Instructor, Zumba, Presenters, or Streaming Provider for any loss or damage resulting from Participant’s participation in the Online Class. PARTICIPANT IS AWARE OF THE POTENTIAL DANGERS INCIDENTAL TO ENGAGING IN THE FITNESS ACTIVITIES IN THE ONLINE CLASS. PARTICIPANT AGREES THAT THIS IS A RELEASE OF LIABILITY, A WAIVER OF THE PARTICIPANT’S LEGAL RIGHT TO COLLECT DAMAGES IN THE EVENT OF INJURY, DEATH OR PROPERTY DAMAGE AND A CONTRACT BETWEEN PARTICIPANT AND INSTRUCTOR, ZUMBA, PRESENTERS, AND STREAMING PROVIDER AND PARTICIPANT AGREES TO IT OF HIS/HER OWN FREE WILL. PARTICIPANT MUST BE 18 YEARS OF AGE OR OLDER TO ACCEPT AND PARTICIPATE IN LIVE STREAM. PARTICIPANTS UNDER THE AGE OF 18 MUST HAVE THE CONSENT OF PARENT OR GUARDIAN *
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I have cleared - or will clear before I join an online class - an appropriate space in which to move with no trip or slip hazards. *
I will only perform movements I am comfortable doing and will adapt as needed for my personal ability. *
I will immediately STOP engaging in Annie Kirschenmann's  ZumbaVirtual classes if my ability to safely engage in these classes changes. I will complete a new waiver if my circumstances change. *
Typing my name here constitutes my signature and my agreement to all of these terms. *
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