Assumption of Risk and Release of Liability - Kane Fitness Center (Fall 2021-Spring 22)
Assumption of Risk and Release of Liability for use of the Fitness Facilities at The Catholic University of America.

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First & Last Name *
CUA Email Address *
Student ID # *
Assumption of Risk and Release of Liability for use of the Fitness Facilities at The Catholic University of America.
ASSUMPTION OF RISK: I, ______________________________, understand that my use of any or all of the Catholic University’s fitness facilities, equipment, and machinery (hereinafter “Facilities”) is voluntary and that there are significant risks associated with the use of the Facilities. I am aware that risks include, but are not limited to, suffering minor, serious, and catastrophic physical and emotional injuries. I also understand that I may be unsupervised while using the Facilities and their use involves hazards that are unknown and/or unseen.

I understand that there are risks of injury involved in using the Facilities and I voluntarily assume such risk. (Please initial: ____)

RELEASE OF LIABILITY: In consideration of my participation in this voluntary activity, I knowingly release, waive, defend and forever discharge the University, its agents, employees, officers, and trustees from any and all claims or liability for injury or damages (including loss or damage to property) arising from or attributable to my use of the Facilities. (Please initial: ____)

MEDICAL WARNING AND CONSENT: I understand that the University recommends that I consult a physician before engaging in physical activity, and, if my physical health is questionable, that I obtain a medical clearance from a physician. I also understand that the University strongly recommends that I am covered by a health insurance policy before using any Facility. Further, I understand that I am responsible for my own medical expenses.

I consent to emergency medical treatment if it is determined to be necessary by the University, in its sole discretion. And in the event of a medical emergency, I also consent to the University contacting my emergency contact.
I have read and understood the above provisions and agree to be bound by them. (This is your electronic signature of approval). *
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