PLEASE ANSWER WITH YOUR NAME BELOW TO SIGN THE WAIVER. I acknowledge that I am voluntarily participating in a class or classes provided by Julene McBride. I will be receiving instruction and information concerning fitness and wellness techniques, which may include dance and other physical activities. I represent and warrant that I have no physical or mental health condition that would prevent my safe participation in these classes. I agree that if I am pregnant, or have a known cardiac arrhythmia (including very slow heart rate), a history of heart block, or if I am taking antipsychotic medications that may result in an adverse reaction in connection with physical activities, I will consult with and obtain the permission of a physician prior to engaging in any weight training or other physical activities in connection with these classes.
I am willingly and voluntarily assuming any risks, injuries or damages, known and unknown, which I might incur as a result of participating in these classes, and agree that Julene McBride will not have any liability for such injuries or damages, to the maximum extent allowed by applicable law.
I acknowledge and agree that Julene McBride is not a medical professional and does not provide any medical diagnoses or treatments. I agree that if I have any medical condition, I will seek the help of a medical professional.
To the maximum extent permitted by applicable law, I hereby (a) waive and release any claims, known or unknown, I may have against Julene McBride, including its instructors, officers, directors and employees and agents, arising from or in connection with the services provided by Julene McBride (“Claims”) and agree to indemnify Julene McBride, including its instructors, officers, directors and employees and agents, from and against any and all Claims.
I expressly waive all rights afforded by any statute which limits the effect of a release with respect to unknown claims. *
