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Waiver, Release, and Assumption of Risk

This form is an important legal document. It explains the risks you are assuming by beginning an exercise program. It is critical that you read and understand it completely. After you have done so, please print your name legibly and sign in the spaces provided at the bottom.

Waiver, Informed Consent, and Covenant Not to Sue

I have volunteered to participate in a program of physical exercise under the direction of Tizana’s Body Renewal which will include Indoors at the studio location, home visits, virtual training via zoom and outdoors, but may not be limited to, weight and/or resistance training, cardiovascular training, and mat science training. Tizana’s Body Renewal will document the program with photos and videos. These photos and videos are meant to promote the program to document my journey on this program and my results. I hereby grant Tizana’s Body Renewal permission to use my likeness in photographs videos, and other promotional materials and company publications, including website entries, without payment or any other consideration. In consideration to instruct, assist, and train me, I do here and forever release and discharge and hereby hold harmless the Personal Trainer, and his/her respective agents, heirs, assigns, contractors, and fellow employees from any and all claims, demands, rights of action, or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom.

THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES THAT MAY OCCUR AS A RESULT OF 1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK; 2) ANY SLIP, FALL, OR DROPPING OF EQUIPMENT;, AND 3) OUR NEGLIGENT INSTRUCTION OR SUPERVISION.

Assumption of Risk

I, , recognize that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I am aware that participating in Tizana’s Body Renewal group classes and personal training via studio location, virtual via Zoom, outdoors, and in the home may pose certain risks or injuries of certain unusual physical changes during exercises does exist. These changes include dislocations and muscle pulls, abnormal blood pressure; fainting; disorders in heartbeat; heart attack; in rare instances, and death. I understand that because of my participation in an exercise program, I could suffer an injury or physical disorder. I recognize that an examination by a physician should be obtained by all participants prior to involvement in any exercise program. If I,

, have chosen not to obtain a physician’s permission prior to beginning this exercise program with a Personal Trainer at Tizana’s Body Renewal, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand

that results are individual and may vary.

INDEMNITY

I promise to indemnify and hold harmless Tizana’s Body Renewal from any liability, loss, costs, and expenses (including attorneys’ fees and disbursements) as a result of any accident, injury, or other loss to any third party caused in any way by my participation.

POLICY

Recording of workout sessions is PROHIBITED and is at the discretion of TBR to give consent. If consent is given, the recording can be no more than 5 minutes. If that recording is shared on social media, you MUST TAG @Tizanabodyrenewal. If you do not tag TBR, you are in violation of this contract. Actions taken in such an instance are at the discretion of TBR.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST ANY PERSONAL TRAINER OF TIZANA’S BODY RENEWAL FOR HIS/HER NEGLIGENCE OR THAT OF HIS/HER FELLOW EMPLOYEES, AGENTS, OR CONTRACTORS.

"Please sign in the box with your finger, mouse or tablet pen"

ADDRESS

412 Pulaski Street
Brooklyn, NY 11206

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GYM HOURS

Mon – Thur: 9:00am – 8:30pm
Fri: 9:00am – 10:00am

Sat: 8:30am – 11:00am

Disclaimer: Tizana Body Renewal LLC  website, app, services, and products are meant to support  general  health. Our products and services are not intended to diagnose,  treat, cure, or prevent any disease. They should not be substituted for medical advice or medical intervention.  Please consult a qualified healthcare provider when making medical decisions

© 2023 TIZANA BODY RENEWAL

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