FITNESS WAIVER/RELEASE FORM FOR PARTICIPATION IN 2024 POWHERHOUSE/YOGA/ZUMBA
PROGRAMS
By signing this Waiver/Release Form below, each participant acknowledges that
such waiver/release covers each and every class the individual participates in
throughout the 2024 PowHerhouse/ Zumba/Yoga Program at the Four Seasons Plaza
at Parkway Bank Park, owned and operated by the Village of Rosemont, Illinois:
I agree and consent to the following:
I am voluntarily participating in the 2024 PowHerhouse / Zumba/Yoga
exercise/fitness program at the Four Seasons Plaza at Parkway Bank Park,
located in Rosemont, Illinois. I recognize that the program requires physical
exertion that may be strenuous at times and may cause physical injury and I am
fully aware of the risks and hazards involved.
I understand that it is my responsibility to consult with a physician prior to
and regarding my participation in the above mentioned program. I represent and
warrant that I have no medical condition that would prevent my participation
in the program.
I agree to assume full responsibility for any risks, injuries or damage known
or unknown which I might incur as a result of participating in the program.
Such injuries may include, but are not limited to, heart attacks, muscle
strains, muscle pulls, muscle tears, broken bones, shin splints, heat
prostration, injuries to knees, injuries to back, injuries to foot, or any
other illness or soreness, including death.
I knowingly, voluntarily and expressly waive any claim I may have against the
Village of Rosemont, its officers, agents, and employees for injury, sickness,
or damages that I may sustain as a result in participating in the program.
Additionally, I further understand and acknowledge that the Village of
Rosemont is not responsible for the condition of any equipment, or property
provided by others in connection with the PowHerhouse/Zumba/Yoga program.
I, my heirs or representatives forever release, waive, discharge and covenant
not to sue the Village of Rosemont, its officers, agents and employees for any
injury, sickness, or death caused by their negligence or other acts.
I have read the above waiver and release of liability and fully understand its
contents. I voluntarily agree to the terms and conditions stated above.