S.P.A. Activities Disclaimer & Liability Release
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1. I hereby consent as a participant in S.P.A. to assume all risks involved. I understand that S.P.A. does not provide medical insurance relative to accidents, injuries and or death as a result of program related activities; and that I cannot hold S.P.A. or the instructor personally responsible for any liability.

2. I have been informed of, understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that fitness activities involve a risk of injury, including a remote risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the damages involved. I hereby agree to expressly assume and accept any and all risk of injury or death.

3. I do hereby further decree myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I do hereby acknowledge that I have been informed of the need for a physician's approval for my participation in the exercise activities, programs, and use of exercise equipment. I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physician as to physical activity, exercise and the use of exercise equipment. I acknowledge that either I have had a physical examination and have been given my physician's permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment.

4. I authorize Fitness & Health Ministry to submit for publication photographs and/or video of myself. This is my consent for the photographs/video to be published in social media, e-mails, books or other materials deemed appropriate by S.P.A.

5. I understand that S.P.A. and its programs providing and maintaining an exercise/ fitness program for me does not constitute an acknowledgement, representation, or indication of my physiological well-being or medical opinion relating
thereto.

Print Name: 
 *
WAIVER AND RELEASE OF LIABILITY - RENTAL
In consideration of the risk of injury while renting the equipment above by myself, as patient, of any other party, and as consideration for the right to rent this equipment, I hereby for myself, my heirs, executors, administrators, assigns, or personal representative, knowingly and voluntarily enter into this waiver and release of lability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in this rental agreement, and do hereby release and forever release and discharge S.P.A., its affilates, managers, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, doctors, employees, directors and all other related parties for any physical or psychological injury, Including but not limited to, illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my use and rental of equipment.

I AM RENTING THE AFOREMENTIONED EQUIPMENT UNDERSTANDING AND AFFIRMING THAT THE INSTRUCTIONS GIVEN BY S.P.A. AND IT'S STAFF MUST BE FOLLOWED AND THERE WILL BE NO UNAUTHORIZED USE. FURTHER, I ACCEPT AND ACKNOWLEDGE THAT I AM RENTING THIS EQUIPMENT AND ACTING ENTIRELY AT MY OWN RISK. I AM AWARE THAT THIS EQUIPMENT MAY HAVE RISKS TO MYSELF AND OTHERS AND, HAVE AGREED TO ALWAYS FOLLOW STRICTLY THE RULES AND REGULATIONS GIVEN TO ME FOR ITS USAGE. I REALIZE THAT I HAVE AN ABSOLUTE DUTY TO RESTRICT THE USE OF SAID EQUIPMENT TO ONLY MYSELF AND I AGREE TO INDEMNIFY S.P.A. AND IT'S STAFF FOR ANY DAMAGES RESULTING FROM UNAUTHORIZED USAGE. I AM AWARE THAT UNAUTHORIZED USAGE MAY CREATE SERIOUS RISKS TO INCLUDE, BUT NOT BE LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE AND ASSUME ALL RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THE RENTAL AND USE OF SAID EQUIPMENT.

I agree to indemnify S.P.A., employees, and all other related parties for damages it may incur, including reasonable attorney fees because of my negligence in renting and using this equipment including, someone else's use, other than myself. As renter I acknowledge that I am fully responsible for the care, maintenance of the machine while my possession and use restrictions for myself and other invited users.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY, I EXPRESSLY AGREE TO RELEASE AND DISCHARGE ALL OF S.P.A., EMPLOYEES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST THE AFOREMENTIONED PARTIES AS A RESULT OF MY RENTAL OF THE EQUIPMENT OR ITS USAGE FOR PERSONAL INJURY OR PROPERTY DAMAGE.

Print Name:
Treatment objectives as well as the risks associated with restorative therapies and, all other procedures provided at S.P.A. have been explained to me to my satisfaction and I have conveyed my understanding of both to S.P.A and it's staff. After careful consideration, I do hereby consent to treatment by any means, method, and or techniques, the S.P.A. staff deems necessary to treat my condition at any time throughout the entire course of my care.

Name:
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Date: *
Email address *
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