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LIABILITY WAIVER

First Name

Last Name

Email

Date of Birth

I hereby acknowledge the existence of certain inherent risks and hereby agree to assume all risks. By participating, I relieve the host, facility, and instructors from any liability due to my injury or my sickness and take full responsibility for my own health and safety. I will consult my doctor before participating in any physical activity if I have concerns. I also understand that my image may be recorded, edited, exhibited, or published and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.

Your Signature

Select Class Date

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