HPA Release of Liability

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Please complete this form prior to the first fitness/speed training session.

Email *

First Name, Last Name *

Telephone Number *

Current Address *

Age *

Current Height *

Current Weight *

Prior to your first fitness session, how physically active have you been? *

None, no physical activity

Physical activity once a month

Physical activity more than twice a month

Physical activity more than four times a month

I am very involved in fitness

Please list 5 fitness goals. *

High Performance Athletics LLC 2022 Assumption of Risk, Waiver & Release of Liability, And Indemnity Agreement for participants of: Independent Contractors/ XC Macrocycle Training / T&F Macrocycle Training / AAU Track & Field Program / Running Club Program , Private Training / Semi Private Training / Group Training and or Fitness Training: DECLARATIONS: This Agreement is entered into agreement between Jason Greer, High Performance Athletics LLC, and the undersigned (“Client”/ "Independent Contractor"). ASSUMPTION OF RISK: You agree that if you engage in any physical exercise or activity, or enter our premises or use any facility or equipment on our premises for any purpose, you do so at your own risk and assume the risk of any and all injury and/or damage you may suffer, whether while engaging in physical exercise or not. This includes injury or damage sustained while and/or resulting from using any premises or facility, or using any equipment, whether provided to you by Jason Greer, High Performance Athletics LLC, or otherwise, including injuries or damages arising out of the negligence of Jason Greer, High Performance Athletics LLC whether active or passive, or any of Jason Greer, High Performance Athletics LLC, and its affiliates, employees, agents, representatives, successors, and assigns. Your assumption of risk includes, but is not limited to, your use of any exercise equipment (mechanical or otherwise), sports fields, golf courses, courts, or other areas, locker rooms, sidewalks, parking lots, stairs, pools, whirlpools, saunas, steam rooms, lobby or other general areas of any facilities, or any equipment. You assume the risk of your participation in any activity, class, program, instruction, fitness or event, including but not limited to weightlifting, walking, jogging, running, aerobic activities, aquatic activities, tennis, track and field, cross country, basketball, volleyball, racquetball, or any other sporting or recreational endeavor. You agree that you are voluntarily participating in good health, have been seen and been cleared by a medical doctor in the aforementioned activities and assume all risk of injury, illness, damage, or loss to you or your property that might result, including, without limitation, any loss or theft of any personal property, whether arising out of the negligence of Jason Greer, High Performance Athletics LLC, otherwise. RELEASE: You agree on behalf of yourself (and all your personal representatives, heirs, executors, administrators, agents, and assigns) to release and discharge Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), from any and all claims or causes of action (known or unknown) arising out of the negligence of Jason Greer, High Performance Athletics LLC, whether active or passive, or any of Jason Greer, High Performance Athletics LLC, and its affiliates, employees, agents, representatives, successors, and assigns. This waiver and release of liability includes, without limitation, injuries which may occur as a result of (a) your use of any exercise equipment or facilities which may malfunction or break, (b) improper maintenance of any exercise equipment, premises or facilities, (c) negligent instruction or supervision, including personal training, (d) negligent hiring or retention of employees, and/or (e) slipping or tripping and falling while on any portion of a premises or while traveling to or from personal training, including injuries resulting from Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), or anyone else’s negligent inspection or maintenance of the facility or premises. INDEMNIFICATION: By execution of this agreement, you hereby agree to indemnify and hold harmless Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), from any loss, liability, damage, or cost Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), may incur due to the provision of personal training Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), to you. ACKNOWLEDGMENTS: You expressly agree that the foregoing release, waiver, assumption of risk and indemnity agreement is intended to be as broad and inclusive as permitted by the law in the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. You acknowledge that Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), offers a service to his/her clients encompassing the entire recreational and/or fitness spectrum. Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), are not in the business of selling weightlifting equipment, exercise equipment, or other such products to the public, and the use of such items is incidental to the service provided by Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns). You acknowledge and agree that Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), do not place such items into the stream of commerce. This release is not intended as an attempted release of claims of gross negligence or intentional acts. You acknowledge that you have carefully read this waiver and release and fully understand that it is a release of liability, express assumption of risk and indemnity agreement. You are aware and agree that by executing this waiver and release, you are giving up your right to bring a legal action or assert a claim against Jason Greer, High Performance Athletics LLC,(and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns), negligence, or for any injuries while participating in any programs sponsored and or instruction lead by Jason Greer, High Performance Athletics LLC, (and Trainer’s affiliates, related entities, employees, agents, representatives, successors, and assigns). You have read and voluntarily signed the waiver and release and further agree that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. I hereby grant High Performance Athletics LLC, its representatives and employees, permission to use and/or publish photographs or videos of myself in print and/or electronically. I understand and agree that these materials will become the property of High Performance Athletics LLC and will not be returned. I hereby authorize High Performance Athletics LLC to edit, alter, copy, exhibit, publish, or distribute the photograph or video for purposes of publicizing their programs or for any other lawful purpose. In addition, I waive my rights to any compensation arising or related to the use of the photographs or videos. I release and discharge High Performance Athletics LLC from any and all claims arising out of use of the photos or videos for any lawful purpose such as for publicity, illustration, advertising, and Web content. Additionally, I grant High Performance Athletics LLC, and its agents and employees, the irrevocable and unrestricted right to reproduce the photographs and/or video images taken by me, for the use of publication, promotion, illustration, advertising, or trade, in any manner or in any medium. I hereby release High Performance Athletics LLC and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during discussion, interview or other communication, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation. In the case of minors, High Performance Athletics LLC has my permission to use photo or video of my child or legal custody with all the permissions outlined above. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

I have read the release of liability and agree with its terms and conditions. Myself and /parents have also read the release of liability and agree to it terms.

Send me a copy of my responses.

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