The Dane’s Body Shop Fitness Program your child/children are signing up for involves physically and emotionally demanding activities in an indoor and outdoor setting. It can sometimes include climbing, jumping, and other rigorous activities on natural and man made structures that are on the ground or at low, medium, or high distances off the ground. Your child/children will be working with Coaches from the Dane’s Body Shop program and with others in the group. It is possible that your child/children may be injured while participating in the program either because of their own conduct, conduct of others in the group, conduct of the coaches from the Dane’s Body Shop Program, or the conditions of the premises. We want to make sure you and your child/children understand the risks of injury before you decide to participate in the program. It is required that you read the following very carefully, make sure you and your child/children understand it, and sign it before they begin participating in the Dane’s Body Shop Program.

BY SUBMITTING THIS RELEASE FORM, I AGREE TO RELEASE AND HOLD HARMLESS, DANE’S BODY SHOP, ITS COACHES, CONSULTANTS, AGENTS, AND DIRECTORS, FOR ANY DAMAGE OR INJURIES, PHYSICAL OR MENTAL, WHICH MIGHT RESULT FROM MY CHILD’S PARTICIPATION IN THE DANE’S BODY SHOP FITNESS PROGRAM.

I RECOGNIZE THAT THERE IS A SIGNIFICANT RISK IN ANY ADVENTURE, SPORT, OR ACTIVITY ASSOCIATED WITH THE OUTDOORS. KNOWING THE INHERENT RISKS, DANGERS, AND RIGORS INVOLVED IN THE ACTIVITIES, I CERTIFY THAT MY CHILD IS FULLY CAPABLE OF PARTICIPATING IN THE ACTIVITIES. I UNDERSTAND THAT THEY WILL NOT BE FORCED TO PARTICIPATE IN ANY ELEMENT THAT THEY FEEL UNCOMFORTABLE WITH. I FURTHER UNDERSTAND THAT THEIR IMAGE, BY PHOTOGRAPH OR VIDEO, MAY BE USED FOR PROMOTIONAL PURPOSES.

I ASSUME FULL RESPONSIBILITY FOR MY CHILD/CHILDREN FOR BODILY INJURY, DEATH, LOSS OF PERSONAL PROPERTY, AND EXPENSES THEREOF, AS A RESULT OF THEIR NEGLIGENCE, OR OTHER RISKS, INCLUDING BUT NOT LIMITED TO THOSE CAUSED BY THE OBSTACLE COURSE, THE TERRAIN, THE WEATHER, THEIR ATHLETIC AND PHYSICAL CONDITION, OTHER PARTICIPANTS OR COACHES.

BY SUBMITTING THIS RELEASE FORM, I AGREE THAT IF MY CHILD/CHILDREN DO SUSTAIN PHYSICAL INJURY OR MENTAL DAMAGE OF ANY NATURE AS A RESULT OF MY DECISION FOR THEM TO PARTICIPATE IN THIS DANE’S BODY SHOP FITNESS PROGRAM, I VOLUNTARILY AGREE TO HOLD HARMLESS THE ABOVE NAMED PARTIES FROM ANY LIABILITY THEREFORE AND THAT THIS RELEASE IS BINDING ON MY HEIRS, PERSONAL REPRESENTATIVES, AND ASSIGNS.

I ACKNOWLEDGE THAT I HAVE BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS REGARDING ANY ASPECT OF THIS RELEASE FORM AND BY SUBMITTING THIS FORM I DO ACKNOWLEDGE THAT I HAVE READ COMPLETELY AND FULLY UNDERSTAND ALL ASPECTS OF THIS RELEASE FORM AND AGREE TO ITS TERMS IN ITS ENTIRETY.

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