Waiver | Evolve

WAIVER

LIABILITY WAIVER

Athlete information and liability waiver.

Athlete Information & Liability Waiver

First Name:

Last Name

Address:

City:

State:

Zip Code:

Phone:

Date of Birth

Email:

Emergency Contact Name:

Emergency Contact Phone:

How Did You Hear About Us?

Member That Referred You

I (“Member”) hereby acknowledges to Whittemore Enterprises LLC and its employees, agents, independent contractors, and affiliates (all together, and including specifically without limitation Whittemore Enterprises LLC, d.b.a. EVOLVE that the exercise and physical activity opportunities (all together, “Club Activities”) allow the Member to engage in various exercise and physical activities potentially beneficial to the fitness, health, and well-being of the Member. However, the Member also hereby acknowledges to the Club that the Member recognizes that there are inherent risks of various physical and mental conditions, illnesses, and injuries associated with engaging in any exercise or physical activities such as the Club Activities or the use of the facilities of any health and fitness club such as the Club Facilities, and that such risks may be compounded by the fact that many of the Club Activities are unsupervised, including without limitation, the use of various exercise machines and equipment in the Club Facilities, and the access to and use of the dressing, shower, lounge, locker, and other areas of the Club Facilities. According, the Member hereby (a) consents to voluntarily engage in much of the Club Activities as the Member may elect to engage in, from time to time, whether supervised or unsupervised, (b) consents to use the Club Facilities at the sole risk of the Member and with full knowledge of any and all risks associated with access to or the use of the Club Facilities or a participation in any of the Club Activities, and (c) assumes the full responsibility for any and all risks of bodily injury, illness, property damage, or other damage suffered by the Member resulting from access to or the use of the Club Facilities or a participation in any of the Club Activities. Further, the Member hereby (a) releases, waives, forever discharges, and covenants not to sue the Club, for any and all loss, cost, expense, damage, or claims, of whatever kind, character, or description, whether known or unknown, on account of, arising from, or relating in any way to any bodily injury, illness, conditions, property damage, or other damage resulting, in whole or in part, from access to or the use of the Club Facilities or a participation in any in any of the Club Activities, and (b) hereby agrees to indemnify and hold the Club harmless from and against any and all loss, cost, expense, damage, or claims, of whatever kind, character, or description, resulting, in whole or in part, from access to or the use of the Club Facilities or a participation in any of the Club Activities.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Date:

Athlete Information & Liability Waiver

First Name:

Last Name

Address:

City:

State:

Zip Code:

Phone:

Date of Birth

Email:

Emergency Contact Name:

Emergency Contact Phone:

How Did You Hear About Us?

Member That Referred You

Date:

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972-803-6599

500 S. Ervay St.

Dallas TX 75201

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972-803-6599

500 S. Ervay St.

Dallas TX 75201

Created by Model T Marketing LLC.

LIABILITY WAIVER

Athlete Information & Liability Waiver

Athlete Information & Liability Waiver

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