Member Name: {name}
Date of Birth: {dob}
Address: {address}
Phone Number: {phone}
1. Assumption of Risk
I, {name}, acknowledge that participation in any exercise program or physical activity offered by Ruston Fitness & Wellness is voluntary and involves inherent risks of physical injury, illness, or in rare cases, death. These may result from my own actions, inactions, or the actions or inactions of others. I accept and assume all such risks voluntarily.
I understand and accept the risks associated with physical exercise.
2. Medical Responsibility
I affirm that I am physically able to participate in fitness activities and have consulted with my physician if needed. I agree to inform Ruston Fitness & Wellness of any medical conditions or limitations that could affect my participation. I understand it is my responsibility to monitor my condition and stop activity if necessary.
I am medically cleared and accept responsibility for my health.
3. Release of Liability
In consideration for access to Ruston Fitness & Wellness, I release and discharge the business, its owners, employees, contractors, and affiliates from all claims, demands, damages, or causes of action arising from any injuries or damages sustained as a result of my participation in activities, use of equipment, or presence at the facility.
I waive and release liability for any injury or incident.
4. Facility & Conduct Agreement
I agree to follow all posted rules and instructions from staff. I understand that inappropriate conduct, misuse of equipment, or disruption of other members may result in termination of my membership without refund.
I understand and accept the facility and conduct agreement.
Cancellation Policy for Classes and Appointments
I understand that if I need to cancel or reschedule a class or personal training session, I must provide at least 24 hours’ notice. If I cancel within less than 24 hours, I agree that I will either be charged for the missed class/session or have one session deducted from my membership package.
Non-Rollover Policy for Class Memberships
Class memberships with a set number of sessions per month do not carry over to the following month. Unused sessions expire at the end of each month and cannot be refunded, credited, or transferred.
5. Emergency Contact
Emergency Contact Name: {contact_name}
Phone Number: {contact_phone}
Relationship: {contact_relation}
6. Signature
By signing below, I confirm that I have read, understand, and agree to the terms above. This waiver shall remain in effect as long as I am a member of Ruston Fitness & Wellness.
Date Signed: {sign_date}
Signature:
