Energy Fitness Studio

I _________________ authorize & have agreed to take part in Energy Fitness studio classes at 100 Adios drive Suite 1060 in Washington Pa 15301. I recognize that all of the classes, events, and/or programs involve strenuous physical activity including but not limited to, muscle strength, endurance training, cardiovascular conditioning, training, HIIT movements, weights, stretching of muscles, ice plunges, breath-work, ceremonial cacaos, jumping, twisting, and other various fitness/wellness activities. I hereby affirm that I am in good physical condition and do not suffer from any known disabilities or conditions which would prevent or limit my participation in any of the pre-listed activities or any physical activities. I acknowledge that my participation is purely voluntary, and I accept responsibility for any injuries I could potentially endure with my participation in any classes, events, and/or programs offered in association with Energy Fitness Studio.

In consideration of my participation in this fitness class I___________________ hereby release, Energy Fitness Studio and all its members, owners, employees, instructors, guests, participants, observers, and associates, from any claims, demands, and causes of action as a result of my voluntary participation.

I fully understand that I may injure myself as a result of my participation in any classes, events, and/or programs. I___________________ hereby release, Energy Fitness Studio and all its members, owners, employees, instructors, guests, participants, observers, and associates, from any liability now or in the future for any injuries or illness I may obtain.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.

________________________________________ (Your Signature)

___________________________ (Date)

Under 18

________________________________________ (Guardian)

______________________ (Date)