Activity Waiver* I hereby consent as a participant in Revelation Wellness fitness classes and activities and I agree to assume all risks involved. I understand that Revelation Wellness does not provide medical insurance relative to accidents, injuries and or death as a result of program related activities; and that I cannot hold Revelation Wellness of affiliated Revelation Wellness instructors personally responsible for any liability.
I have been informed of, understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that fitness activities involve a risk of injury, including a remote risk of death or serious disability, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the damages involved. I hereby agree to expressly assume and accept any and all risk of injury or death.
I do hereby further decree myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in these activities or use of equipment or machinery. I do hereby acknowledge that I have been informed of the need for a physician's approval for my participation in the exercise activities, programs, and use of exercise equipment. I also acknowledge that it has been recommended that I have a yearly or more frequent physical examination and consultation with my physicians as to physical activity, exercise and use of exercise equipment. I acknowledge that either I have had a physical examination and have been given my physician’s permission to participate or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician and do hereby assume all responsibility for my participation in said activities, programs and use of equipment.
I authorize Revelation Wellness to submit for publication photographs and/or video of myself. This is my consent for the photographs/video to be published in journals, books, social media, websites or other materials deemed appropriate by Revelation Wellness.
I understand that Revelation Wellness and its programs providing and maintaining an exercise/fitness program for me does not constitute an acknowledgement, representation, or indication of my physiological well-being or medical opinion relating thereto.
