Zinga Fitness

WAIVER, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
*** Read Before Signing***

       I, the undersigned participant of Zinga Fitness’s classes, activities and or event on behalf of my heirs, assigns, personal representatives and next of kin, as a condition of my participation, hereby KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation.
I hereby RELEASE, INDEMNIFY, AND HOLD HARMLESS the organizer, its officials, Instructors, and/or employees, other participants and, owners of the premises from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property in connection with and/or arising out of my participation in this event WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
By signing this agreement, I also consent to the use by Zinga Fitness of any photographs, video recording of me for publicity, promotion, advertising or other legitimate purposes.

Participant’s Name : ____________________________________ I/D no. : ____________________

Email Address: _________________________________________ H/P no: ___________________

Participant’s Signature : ___________________________________ Date : ____________________

   ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅ Complete the following if participant is under the age of 18 ⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅⋅

I am Participant’s parent/guardian, and am fully competent to sign this Agreement. I consent to Participant’s participation in the Program. I execute this Agreement for full, adequate, and complete consideration and fully intend for Participant, for me, and for Participant’s family, estate, heirs, administrators, personal representatives and assigns to be bound by this Agreement.

Parent/Guardian Name :_____________________________ I/D no. : ____________________

Parent/ Guardian Signature: __________________________ Date: ______________________