Consent and Liability: PLEASE READ CAREFULLY Consent to Participation: You agree to participate as needed for personal health improvement. You understand that instruction may be provided by multiple professionals including Family Nurse Practitioner, Registered Nutrition Consultant, Personal Trainers, Registered Nurses, and other various guest speakers. You have the right to ask questions about recommendations and may refuse any recommendations. You agree to complete the Physical Activity Readiness Questionnaire prior to your participation and to seek advice with your Primary Care Provider if advised to do so. You agree to notify the instructors of prior injuries or preexisting conditions that require adaptation and will not hold instructors or Pearls of Hope responsible for these preexisting conditions. You understand that participation in this fitness program does not substitute for evaluation and treatment by your primary care provider in your regular healthcare clinic. Communication: You agree that Pearls of Hope Community Center and the CLiMB instructors and support lead may need to contact me in regard to my participation. You agree that phone numbers and email that you have provided (including cell phone and WhatsApp account) may be used for these purposes. Personal information and contact information will not be shared with anyone outside of Pearls of Hope. Liability Release: You understand that use of any fitness facility, including the Pearls of Hope Community Center CLiMB workout studio and home exercise area, entails certain risks and dangers, including but not limited to: loss of or damage to personal property and serious personal injury or death. You understand that there are risks associated with strenuous physical activity which you may engage in at Pearls of Hope CLiMB courses. By signing of this agreement, you acknowledge that you may injure yourself as a result of participation in Pearls of Hope CLiMB exercise program and that such injury could include but not be limited to: heart attacks, muscle strains, lacerations, spinal injury, pulls or tears, broken bones, shin splints, heat prostration, lower back/knee/foot injuries, and other illness, soreness, or injury. In consideration of your participation in Pearls of Hope’s exercise program, you hereby expressly, voluntarily, and knowingly release and discharge Pearls of Hope and its successors and assigns from all claims of negligence of every kind and nature whatsoever which you, your heirs, your children and your legal representatives ever had, now has, or may have, known or unknown, created by or arising out of the use of the facilities and services provided for in this agreement and agree to not sue any of these released parties. Assumption of Risk: You hereby expressly assume all risks and responsibilities for any personal injury sustained by you (and child/charge) as a result of your physical exercise, use of facilities and equipment, instruction by a personal trainer or instructor, use of babysitting services, and all other activity at Pearls of Hope Community Center or its affiliated locations. Notwithstanding the foregoing, you are not responsible for any personal injury caused by intentional, willful, or wanton conduct of Pearls of Hope Community Center and CLiMB instructors. Indemnification: You agree at all times to protect, indemnify, save and hold harmless Pearls of Hope Community Center and CLiMB instructors against and from any and all claims, except for claims caused by Pearls of Hope CLiMB’s intentional, willful, or wanton conduct, arising out of or from any accidents, injury, property damage or death on or about the facilities, including attorneys’ fees or other defense costs. Scope of Release: This Release has no effect upon claims you may have for conduct that is criminal or conduct intended to cause harm to you or your children. Otherwise this Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.This document will remain in effect until it is revoked in writing by me. I understand that I have the right to revoke any and all of these statements in writing at any time except where the Pearls of Hope Community Center and University of Minnesota has already relied on them. Participant agrees that they have read and understand this entire consent and waiver. (*By typing your name and the date in the space below, you are signing in agreement.)
