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Informed Consent and Liability Waiver Release for Participation in Backyard Bootcamp

I agree and consent to the following:


I am voluntarily participating in the Backyard Bootcamp exercise/fitness program conducted by Tracey Hecht Coaching, LLC. I recognize that the program requires physical exertion that may involve strenuous activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.


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.


In addition, I am fully aware of the risks and hazards connected with participation in this program including, but not limited to, injury or even death. I hereby elect to voluntarily participate in this program knowing that the associated physical activity may be hazardous to me and/or my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY ME, OR LOSS OR DAMAGE TO PROPERTY OWNED BY ME, AS A RESULT OF PARTICIPATION IN THIS PROGRAM.


I hereby release, waive, discharge, and covenant not to sue Tracey Hecht Coaching, LLC, and/or any of its officers, servants, agents, consultants, volunteers, and/or employees from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury (including, but not limited to, death) that may be sustained by me, or to any property belonging to me, while participating in this program, or while on or upon the premises where the program is being conducted including, but not limited to, any claims arising under negligence.


It is my expressed intent that this waiver and release shall bind any and all members of my family including, but not limited to, my spouse, if I am alive, and my heirs, assigns, and personal representatives, if I am deceased. It is also my expressed intent that this waiver and release shall also be deemed a full release, waiver, discharge, and covenant not to sue insofar as my aforementioned family members, heirs, assigns, and personal representatives are concerned. I hereby further agree that this waiver and release shall be constructed in accordance with the laws of the State of Florida.


In submitting my electronic signature to this waiver and release, I acknowledge and represent that I have read and understand the foregoing and hereby sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I hereby execute this waiver and release for valuable consideration, intending to be bound by the same.

Thanks for submitting!

Informed Consent/Waiver: Contact
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