Darcy Peters, LLC
D.B.A. Fit Foodie Mom
D.B.A. Timnath Fitness Network
Liability Waiver
It is recommended that you wait 6 weeks after the birth of a baby to start our classes. ALWAYS get your physician’s approval before beginning any exercise regimen.
PHOTO WAIVER: All clients taking class may be included in filming or photography. In consideration of this, you give Darcy Peters, legal representatives and assigns, those for whom Darcy Peters is acting, and those acting with his/her authority and permission:
a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits or pictures of me or those in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever.
b) I also permit the use of any printed material in connection therewith.
c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied.
d) I hereby release, discharge and agree to hold harmless Darcy Peters, legal representatives or assigns, and all persons functioning under permission or authority, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.
CANCELLATIONS: Members can cancel their membership at anytime. Payments will not be refunded past draft date. Therefore, please ensure you are careful to let an instructor and/or the owner know the date you would like to discontinue class at least one week before the end of the month prior so a prorate can be put in place.
LIABILITY: I agree to assume all risks associated with the participation in activities led by Darcy Peters, LLC or its instructors. Activities are physically demanding and strenuous which may result in accident, injury or other physical harm. I also agree to hold Darcy Peters, LLC, the venue, and the instructor leading the activity, harmless from any and all liability arising from my participation in any Darcy Peters program.
I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY, AND EXPRESS ASSUMPTION OF RISK AGREEMENT. I AM AWARE AND AGREE THAT BY EXECUTING THIS WAIVER AND RELEASE, I AM GIVING UP MY RIGHT TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST DARCY PETERS, LLC FOR ITS NEGLIGENCE. I HAVE READ AND VOLUNTARY SIGNED THIS WAIVER AND RELEASE AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS, OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.
Participant’s Release: I am freely signing this Waiver and Release. I affirm that I am at least 18 years old. I have read this form carefully and fully understand that by signing this form, I am giving up legal rights and remedies that may otherwise be available to me.
NAME: ________________________________________ DATE: _______________
SIGNATURE: ___________________________________