BREAKTHROUGH FITNESS, L.L.C.
WAIVER AND RELEASE OF CLAIMS
By the use of the facilities of Breakthrough Fitness, L.L.C., and execution of this
Agreement the Client expressly agrees that Breakthrough Fitness, L.L.C., its employees
and agents (hereinafter collectively referred to as Breakthrough Fitness, L.L.C.) shall not
be liable for any damages arising from personal injuries sustained by the Client or
his/her guest in, on or about the premises of said facilities or as a result of their using the
facilities and the equipment therein. Client assumes full responsibility for any such
injuries or damages which may occur to Client or guest in, on or about the facilities and
further agrees that Breakthrough Fitness, L.L.C. shall not be liable for any loss or theft of
personal property. Client also specifically agrees that Breakthrough Fitness, L.L.C. shall
not be responsible for such injuries, damages, loss or theft even in the event of
negligence by Breakthrough Fitness, L.L.C., whether such negligence is present at the
signing of this Agreement or takes place in the future. This waiver does not, however,
apply to gross negligence or intentional torts by Breakthrough Fitness, L.L.C.
CLIENT'S INITIALS:____________
I acknowledge that this fitness training is a test of a person’s physical and mental limits
and carries with it the potential for death or serious injury. The risks include, but are not
limited to, those caused by facilities, temperature, weather, condition of client,
equipment, actions of other people including but not limited to employees and agents of
Breakthrough Fitness, L.L.C., and lack of hydration. I hereby assume all of the risks of
participating in this program. I realize that liability may arise from negligence or
carelessness on the part of the persons or entities being released, from dangerous or
defective equipment or property owned, maintained or controlled by them. I certify that I
am physically fit and have not been advised otherwise by a qualified medical person that
I cannot participate. I acknowledge that this Waiver and Release of Claims will be used
by Breakthrough Fitness, L.L.C. and that it will govern my actions and responsibilities in
my training.
CLIENT'S INITIALS:____________
I hereby consent to receive medical treatment, which may be deemed advisable in the
event of injury, accident and/or illness during this fitness training.
CLIENT'S INITIALS:____________
This Waiver and Release of Claims shall be construed broadly to provide a release and
waiver to the maximum extent permissible under applicable law, including its application
to claims brought by my heirs, legal representatives, executors, administrators,
predecessors-in-interest, successors-in-interest, assigns and anyone claiming by, through,
with or under me. I hereby certify that I have read this document and I understand its
contents.
CLIENT'S INITIALS:____________
I HAVE READ AND UNDERSTAND ALL PROVISIONS OF THIS WAIVER
AND RELEASE OF CLAIMS.
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Signature
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Print Name
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