IF YOU ARE YOU ARE UNDER THE CARE OF A PHYSICIAN, HAVE RECENTLY BEEN UNDER THE CARE OF A PHYSICIAN, OR HAVE EXPERIENCED AND SIGNS OF MEDICAL PROBLEMS, THIS INFORMATION SHOULD BE DISCLOSED AND CLEARANCE FROM YOUR PHYSICIAN SHOULD BE OBTAINED. IF YOU HAVE NOT UNDERGONE A PHYSICAL EXAMINATION, IT IS RECOMMENDED THAT YOU DO SO BEFORE BEGINNING THIS PROGRAM.
THE EXERCISE AND ACTIVITY OPPORTUNITIES OFFERED THROUGH THE FACILITIES OF BELLY AND BODY ALLOWS A PERSON TO ENGAGE IN VARIOUS EXERCISE AND/OR PHYSICAL POTENTIALLY BENEFICIAL TO ONE'S HEALTH AND WELL-BEING. HOWEVER, I RECOGNIZE AND UNDERSTAND THAT THERE ARE INHERENT RISKS OF VARIOUS PHYSICAL AND MENTAL ILLNESSES, AND/OR INJURIES ASSOCIATED WITH (A) ENGAGING IN ANY EXERCISE OF PHYSICAL ACTIVITY, (B) THE USE OF EQUIPMENT AT BELLY AND BODY. SUCH RISKS INCLUDED MAY BE OF PHYSICAL AND MENTAL CONDITIONS AND/OR ILLNESSES INCLUDING, BUT NOT LIMITED TO, SPRAINS, STRAINS, BROKEN BONES, CONCUSSIONS, LACERATIONS, ELEVATED BLOOD PRESSURE, HEARTBEAT DISORDERS, FAINTING, SHORTNESS OF BREATH, CHEST PAIN, STROKES, HEART ATTACK, OR EVEN DEATH.
I HEREBY AGREE AND CONSENT TO VOLUNTARILY ENGAGE IN ANY AND ALL EXERCISES AND PHYSICAL ACTIVITY OPPORTUNITIES AT BELLY AND BODY, TO VOLUNTARILY USE BELLY AND BODY EQUIPMENT, AND TO VOLUNTARILY USE BELLY AND BODY FACILITIES AT MY OWN RISK AND WITH FULL KNOWLEDGE AND APPRECIATION OF ANY ALL DANGERS AND RISKS INHIBITED.
I ACKNOWLEDGE THAT I HAVE AND AM HEREBY ADVISED TO SEEK AND OBTAIN ANY NECESSARY MEDICAL CLEARANCES FROM MY PHYSICIAN AND TO UNDERTAKE A PHYSICAL EXAMINATION PRIOR TO BEGINNING ANY EXERCISE ACTIVITY. I HEREBY ASSUME FULL RESPONSIBILITY FOR ANY AND ALL RISKS OF ANY BODILY INJURY, ILLNESS, DEATH AND/OR PROPERTY DAMAGE.
I HEREBY RELEASE, WAIVE, FOREVER DISCHARGE AND/OR COVENANT NOT TO BELLY AND BODY FOR ANY AND ALL LOSS OR DAMAGE AND/OR ANY CLAIMS OF DEMANDS OR ACCUSATIONS UNKNOWN, ON ACCOUNT OF OR IN ANY WAY RELATED TO ANY ILLNESS, CONDITION, AND/OR INJURY TO MY PERSON OR PROPERTY, OR WHICH MAY RESULT IN MY DEATH.
I HEREBY ACKNOWLEDGE BY SIGNING THIS FORM ON BEHALF OF MYSELF AND/OR THE CHILD LISTED ON THE MEMBERSHIP APPLICATION, I AGREE THAT THE CONSENT, RELEASE, WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT ALSO APPLIES TO THE CHILD.
Memberships require a minimum of a three-month commitment. You will automatically be charged monthly until you formally cancel your membership. You have the ability to freeze your membership for up to three months in a given contract (minimum freeze length is two weeks).
Class cancellations must be made with at least 12 hours prior to your class. Any cancellations within a 12-hour period forfeits the full amount of class credit.
I AGREE TO ABIDE BY THE RULES AND REGULATIONS THAT ARE ADOPTED BY BELLY AND BODY. I UNDERSTAND THAT BELLY AND BODY RESERVES THE RIGHT TO TERMINATE ANY MEMBERSHIP WITH OR WITHOUT CAUSE, AT ANY TIME. I HEREBY ACKNOWLEDGE THAT ALL INFOMRATION PROVIDED BY MYSELF AND THAT I HAVE READ AND UNDERSTAND THE PRECEDING PRIOR TO SIGNING AND AGREE TO ALL TERMS OUTLINED ABOVE.
I agree to pay the amount posted by BELLY AND BODY LLC on the 1st of each month or my membership WILL expire with no refunds.
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