Name (Signee)
*
First Name
Last Name
Which plan are you interested in?
Individual: $35/month
Couple: $60/month
Family of 3: $80/month
Family of 4+: $95/month
Senior Citizen/Veteran $30/month
Phone
(###)
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Email Address
*
Waiver
*
By submitting this form, I agree to the Release and Assume all risk and waiver of liability explicitly laid out in the form.
In consideration of my use of the exercise equipment and facilities provided by Stronger Version Fitness ("the company"), I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that the company and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me, or my guest in, on, or about the premises, or as a result of the use of the equiptment or facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the company.
By the execution of this agreement, I accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me or my guest, and I hereby fully and forever release and discharge the company, its insurers, employees, officers, directors, and associate, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, resulting from or arising out the use of said equiptment and facilities.
I expressly agree to indemnify and hold the company harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages, sustained by me or my guest.
I agree to be solely responsible for safety and well being of my guest and myself. I understand that the company does not provide supervision, instruction, or assistance for the use of the facilities and equipment.
I agree to comply with all rules imposed by the company regarding the use of the facilities and equipment. I agree to conduct myself in a controlled and reasonable manner at all times and to refrain from using any equipment in a manner inconsistent with its intended design and purpose.
I understand and acknowledge that the use of the exercise equipment involves risk and serious injury, including permanent disability and death.
I understand and agree that the company is not responsible for property that is lost, stolen, or damages while in, on, or about the premises.
I understand and agree that my use of the facilities and equipment is only to be undertaken on my own personal time and that my use of the facilities and equipment in only to be understand on my own personal time, and that my use of facilities and equipment is not within the course of scope of my employment.
By indicating here, I intend that my minor child(ren) listed below is/are to be included in this Agreement of Release, Assumption of Risk and Waiver of Liability.
I have read the foregoing waiver and release of liability and voluntarily executed this document with full knowledge of its content. I understand that I am signing this contract virtually and am not signing submitting this form as the signee of this contract.
I have signed and submitted the waiver via this site.
I will sign the waiver on-site.
Date
MM
DD
YYYY
Spouse
First Name
Last Name
Minor
First Name
Last Name
Minor
First Name
Last Name
Minor
First Name
Last Name
How did you hear about us?
A Friend
Online Search
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Other
Comments
Would you like one of our trainers to contact you?
YES, I would be interested in learning more!
Not at this time, but maybe in the future.
No, but I would like a tour to learn more about the equipment and all that Stronger Version has to offer.
Just get me my code, I'm ready to go!
Thank you for submitting your form. If you indicated that you will sign the waiver on-site, please do so.
We will be getting back to you shortly! Please don't hesitate to call if you have any questions.
The Stronger Version Fitness Team