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ANCHOR FITNESS

ELECTRONIC LIABILITY WAIVER & RELEASE AGREEMENT

Personal Info:

{name}:

{dob} :

{address}:

{phone}:

Emergency Contact Info:

{contact_name}:

{contact_phone}:

{contact_relation}:

1. Assumption of Risk

I understand that participation in physical exercise, training programs, group classes, personal training sessions, use of exercise equipment, stretching, cardiovascular activity, and any related fitness activities offered by Anchor Fitness involves inherent risks. These risks include, but are not limited to, muscle injury, joint injury, falls, heart complications, equipment malfunction, and other serious injury or death.

I voluntarily choose to participate and assume all risks associated with these activities.

2. Medical Acknowledgment

I affirm that I am physically capable of participating in exercise and have not been advised otherwise by a physician. I understand it is my responsibility to consult a medical professional prior to engaging in any exercise program. 

3. Release and Waiver of Liability

In consideration for being permitted to participate in any activities or services provided by Anchor Fitness , I hereby release, waive, discharge, and agree not to sue the following parties from any and all claims or liabilities arising from participation or presence on the premises:

    •     Anchor Fitness

    •     Its owners, officers, employees, contractors, trainers, agents, and representatives

    •     Ronna Bush

    •     Billy Rhynes

    •     Dance Academy West (facility location)

    •     The owners, officers, employees, agents, and affiliates of Dance Academy West

This release includes any injury, loss, or damage resulting from negligence or any other cause to the fullest extent permitted by law.

4. Indemnification

I agree to indemnify and hold harmless all released parties from any third-party claims resulting from my participation. 

5. Rules, Equipment & Conduct

I agree to follow all safety instructions, facility rules, and trainer guidance. I understand misuse of equipment or failure to follow instructions increases risk of injury.

6. Photo & Media Release

I grant permission to Anchor Fitness to use photos or videos of me for marketing purposes without compensation.

YES 

  NO 

8. Electronic Signature & Records Consent

I agree that:

    •    My electronic signature is legally binding and equivalent to a handwritten signature.

    •    I consent to the use of electronic records and signatures.            

    •    I have the ability to access and retain this document electronically.

    •    I may request a paper copy at any time.             

9. Severability

If any portion of this agreement is found unenforceable, the remainder shall remain in full effect.            

10. Governing Law

This agreement shall be governed by the laws of the State of Georgia

11. Acknowledgment of Understanding

I confirm that I have read this agreement in full, understand its contents, and voluntarily agree to its terms.

ELECTRONIC SIGNATURE

Participant Name

Parent/Guardian Name (if under 18) :

{sign_date} :