BUNGE FITNESS STUDIO LLC
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
ASSUMPTION OF RISK AND SEVERABILITY
I acknowledge that participation in bungee fitness, aerial fitness, strength training, and any related fitness activities offered by Bunge Fitness Studio LLC involves inherent risks, including but not limited to: the injury of bones, ligaments, and muscles. I voluntarily agree to participate in the Activities and hereby accept and assume all such risks, known and unknown, and assume all responsibility for the losses, costs and/or damages following such injury, disability, paralysis or death, even if caused, in whole or part, by the negligence of BUNGE FITNESS STUDIO, LLC .
In consideration of my participation at BUNGE Fitness Studio LLC the undersigned agrees to forever release, discharge and acquit BUNGE Fitness Studio LLC and all employees from all claims for damages or injuries of any kind, nature or description resulting from inherent bungee or fitness related activities. This release includes, but is not limited to that type of injury. This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives. All efforts will be made to ensure the safety of all participants.
This waiver and release of liability includes, without limitation, all injuries which may occur as a result of: 1) my use of all amenities and equipment in the facility and my participation in any activity, class, program, personal training or instruction;, 2) the sudden and unforeseen malfunctioning of any equipment; 3) instruction, training, supervision, or dietary recommendations given by BUNGE Fitness Studio, LLC; 4) my slipping and/or falling while in the building, or on the premises, including adjacent sidewalks and parking areas; 5) contact with other participants; 6) the effects of the weather, and all other such risks being known and appreciated by me. 7) over or under consumption of water during classes; I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I acknowledge that I am physically and mentally capable of performing the physical activity I choose to participate in. I understand that bungee fitness is unlike any other exercise program. I agree that if I experience any discomfort that I will stop movement immediately and notify my instructor and if further need self consult a medical professional. I also understand that I must have, and will continue to provide proper hospitalization, health and accidental insurance coverage for myself. In the event of any accident, I hereby release the staff of BUNGE Fitness Studio, LLC, to render first aid, and if deemed necessary, to seek medical assistance, including transportation by a staff member or ambulance to any health care facility or hospital. I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the state of California and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect
PREGNANCY CLAUSE
I acknowledge that participation in bungee fitness classes involves physical exertion and may not be suitable for individuals who are pregnant. BUNGE Fitness Studio LLC does not recommend, encourage, or advise participation in bungee fitness or related activities while pregnant, regardless of fitness level or stage of pregnancy.
By signing below, I confirm that I have been advised of the potential risks associated with engaging in physical activity during pregnancy, including but not limited to injury to myself and/or my unborn child. I understand that participation in any fitness activity while pregnant is undertaken at my own risk.
I agree to hold harmless and release BUNGE Fitness Studio LLC, its owners, instructors, employees, and affiliates from any and all liability for injuries, complications, or adverse outcomes arising from participation in bungee fitness classes or other studio activities while pregnant.
MEDICAL AUTHORIZATION
I certify that I (or my child) am physically able to participate in the activities provided by Bunge Fitness Studio LLC. I authorize Bunge Fitness Studio LLC staff to seek medical treatment in the event of an emergency and understand that I am financially responsible for any such care.
ILLNESS / COVID-19 RISK ACKNOWLEDGMENT
I understand that participation in group fitness classes may increase the risk of exposure to communicable diseases, including but not limited to COVID-19. I voluntarily assume all such risks and agree that Bunge Fitness Studio LLC is not liable for any illness, infection, or related medical conditions arising from my (or my child’s) participation.
EQUIPMENT USE AND SAFETY ACKNOWLEDGMENT
I understand that bungee fitness involves specialized equipment, including harnesses, bungee cords, resistance bands, carabiners, and floor mats. I acknowledge that improper use of this equipment or failure to follow instructions from Bunge Fitness Studio LLC staff may result in injury. I accept full responsibility for my (or my child’s) conduct while using any and all equipment.
CONDUCT REQUIREMENTS AND REFUSAL OF SERVICE
I understand that Bunge Fitness Studio LLC reserves the right to deny participation or remove any individual from a class or facility if they display unsafe, disruptive, disrespectful, or inappropriate behavior toward instructors, staff, or other clients. No refund will be issued in such cases.
COPYRIGHT CLAUSE
I agree and accept to not compete with BUNGE Fitness Studio LLC, in any manner- choreography, lesson plans, instructional material, or knowledge acquired from training or consulting with BUNGE Fitness Studio LLC. I agree that I will not copy or use any curriculum, vocabulary, training, teaching materials, etc. presented in any class at BUNGE Fitness Studio LLC, or from BUNGE Fitness Studio instructors. I understand that in wearing the bungee harness, I may feel discomfort, and even some bruising. I affirm that I am of legal age and am freely signing this agreement, which is binding on me, my heirs, and on those who may claim by or through me. I sign this agreement voluntarily, and have full capacity to enter into this agreement.
RELEASE AND WAIVER
In consideration for being permitted to participate in Bunge Fitness Studio LLC activities, I, for myself and/or on behalf of my minor child, hereby RELEASE, WAIVE, DISCHARGE, and COVENANT NOT TO SUE Bunge Fitness Studio LLC , its owners, employees, contractors, agents, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, including death, that may be sustained by me or my child while participating in any activity, whether caused by negligence or otherwise.
INDEMNIFICATION
In consideration for being permitted to participate in Bunge Fitness Studio LLC activities, I, for myself and/or on behalf of my minor child, hereby RELEASE, WAIVE, DISCHARGE, and COVENANT NOT TO SUE Bunge Fitness Studio LLC , its owners, employees, contractors, agents, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, including death, that may be sustained by me or my child while participating in any activity, whether caused by negligence or otherwise.
MEDIA RELEASE
I grant permission for Bunge Fitness Studio LLC to use photos or videos taken of me or my minor child during participation for promotional and marketing purposes while on, near or in the vicinity of the facility in addition to all hosted and sponsored events. I grant permission for Bunge Fitness Studio LLC to reshare and/or distribute all tagged, shared or created media involving BUNGE fitness self promoted for marketing and media purposes.
Check here if you do NOT consent
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ACKNOWLEDGEMENT OF UNDERSTANDING
I have read this waiver, fully understand its terms, and sign it freely and voluntarily. I understand that I am giving up substantial rights, including the right to sue.
Participant Name:
Participant Signature:
Date:
Parent/Guardian Signature (if under 18): {first_name}
Date: {sign_date}
EMERGENCY CONTACT
Emergency Contact Name: {contact_name}
Phone Number: {contact_phone}
Relation : {contact_relation}
