al a

LU

(t)

s
O)

a_
t

&r*-

"d
EF@ Gem

e.gid ZJNqJ
@{3

CI(u,J.Y

>

e.
AJ

t
I

ffi

.dBEEA

ffi & tu e w bc\ F

dF.E

ffi

b w k

o;;.rn (J
v

'os_

3 (r
**,

.s --.

_l (4

c=o (o c-a

'=

9b '6f;
-c:a =:: 6ar
G

\AJ

e o

r* (5
I

dtu

tu eF.

LU0.Jhr:9
AJ

(J5*C.;r4

gi
#5

&tu

ffi

&
tu
F$
NA *s*

**
t l*i*

ffi &

ru

A d-

ffi

ft y.e r i P O E l\ O ffi w re> "H e E-*= l5 o-w e& e" +,'{-J(U = f\-cO: ffi g6.s &e & $b. E (U-C +) & =3 qr ffi @ -eJ gEtqcl ? x -v (4 h =-.<uCI: +d q4 bHoErrr
tffi
Qq 3x.*
tbrl,

&

z F ri D

9sUBN

\<H

I I

8o
tro \{

(.) aJ -CL
OQ

-o

r+--'

EEh

bg
$F '(]< EB Ca)
=.s o< J* -rc
Ll-

\l
I AJ

o (J e LU
'p

v1

tn

rc
p ed
@

ffi
zu

J ,ffi
EESE

M
L

& qJ

AJ

ffi I
(u I #

t B

b
*l

# a&E t&
_o

ffi

U
q) L.

L(-

COE A-L:(IJ

Pfl o- O'
io 6+o
Lr*
AJ

o cr

(u b q

0 5 H o

et

)t R 6 b
tq.

t*

3y q *i"# = cl ql o ; ho El 5 g CI bE Fl -n
rbr-_

aJ9=-

b Y.' 6t

q)
0o nn

6 -oC-ccoXl El E o bop Xjl

gts-cF
l'!/lCii-

EE
(J=

s
csr a-E

c
-(/)

N \\

1J

E (J

L. lJ(4

;; ip; c u) = = oi.= g F .rgE.

@ a O CUs-(J F

lENE -_

ud

Ei

&P q)
cl. ^u u{ aJ aJ -l< q

E'

BE c\

O\r*

.[E; r
NO =

Hi OaJ
a)+<

a_c
!4
a)

bnstE bss P B n u t-rr I b

0-

EEESS-.

ciE o
AJ (r

-a:fcH FOCuji

>-(f

a-

\ a)
E
H

c c(n
(r.

o_

cr)

{/}

o s.
d

g
c.
LU

pawn F{o!!ow Mom & Dauehter ftlight Sqt at bltErld Fltness S&tqdlo
Nait"le ef

fhild:
I{anre cf Farent: Mailing Address:

EnrailAddress:
Fhone #:

Waiver and Release

at World Fitness Studio ("Studio"), understand that participation in group fitness classes, including those My use of the Studio is involves significant physical exercise and there is an inherent risk of injury' result from such use' As such' voluntary in all respects and I assume all risks of injury and illness that may agents, officers, members and employees I do hereby fully release and discharge the Studio and their of action from injuries or (collectively, the "Released Parties") from any and all liability, claims, and causes participation in all activities of illness, including death, damages or loss which I may have on account to claims based on the Released Parties' negligence' I further agree utilizing the Studio, including resulting from any and all claims indemnifiT and hold harmless and defend the Released Parties from those death, damages, or loss stemming from my use of the Studio' including injuries or illness, including with a that I should consult claims asserted by any third party based on my own conduct. I understand physical exercise program' I certify that I am in good health and physician before I undertake any all the rules of the studio' I also sufficient physical condition to properly use the Studio; and will observe Studio are not physicians or medical understand that the owners, employees and other personnel of the Parties to secure from any providers of any kind. ln the event of an emergency, I authorize the Released personnel any treatment deemed necessary for my immediate licensed hospital, physician andf or medical services rendered' care and agree that I will be responsible for payment of any and all medical
I

theft of personal property any liability for such loss or theft' brought to or left in the Studio and I release the Released Parties from
any loss or I understand that the Released Parties are not responsible for based on the negligence of the to secure medical treatrnent and the release of all claims, including claims

and Release' including the permission I have read, have fully understood and am freely signing this Waiver upon my heirs, executors, Released parties. I understand and agree that this document is binding else entitled to act on my behalf' administrators or other legal representatives or anyone

Parent Signature: Date: