Disclaimer: You should always consult with your doctor before beginning any type of exercise or physical liability.
This form is an important legal document. It explains the risks you are assuming by beginning an exercise programme and receiving instruction to perform exercise, weightlifting and Olympic Weightlifting. It is critical you read and understand it completely.
Assumption of Risk
To my best knowledge I am in good physical condition and have no disease, physical limitation, health concern or injury that would be aggravated or would be the cause of any injury sustained, before, during or as a result of my participating in activities related either directly and/ or indirectly to Colchester Weightlifting Ltd.
If I am in the knowledge that I am not in good physical condition in contradiction to the above statement, then it is my responsibility to inform Colchester Weightlifting Ltd. in writing of any disease, physical limitation, health concern or injury that would be aggravated or would be the cause of any injury sustained, before, during or as a result of my participating in activities related either directly and/ or indirectly to Colchester Weightlifting Ltd. prior to commencing any training or instruction.
Colchester Weightlifting reserves the right to refuse membership and/or training programmes.
I recognise that exercise, weightlifting and Olympic Weightlifting might be difficult and strenuous and there are risks attached to the movements involved. There also could be unknown inherent risks for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include but are not limited to abnormal blood pressure; musculoskeletal pain; fainting; disorders in heartbeat; heart attack; and, in rare instances, death.
I recognise that should I choose to participate in exercise, weightlifting and Olympic Weightlifting during periods of timetabled open gym whereby a coach is not present the above risks still apply and therefore I take responsibility for myself and my safety in my entirety. I understand I participate in periods of timetabled open gym at my own risk.
I understand that as a result of my participation in exercise, weightlifting and Olympic Weightlifting or other programme, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.
I recognise that an examination by a physician should be obtained by all participants prior to involvement in any exercise or physical program. If I have chosen not to obtain a physician’s permission prior to beginning this exercise or physical program with Colchester Weightlifting Ltd., I hereby agree that I am doing so at my own risk.
Waiver, Informed consent, and covenant not to sue
I have volunteered to participate in a training service or programme containing physical exercise, weightlifting and Olympic Weightlifting under the direction of Colchester Weightlifting Ltd., but may not be limited to weight/ or resistance training. In consideration of Colchester Weightlifting Ltd.’ agreement to instruct, assist, and train me, I do hereby release and discharge and hereby hold harmless Colchester Weightlifting Ltd., and their respective agents, heirs, assigns, contractors and employees from any and all claims, demands, damages, rights or causes of action, present and future, arising out of or connected with my participation in this or any programme including any injuries resulting from them. This waiver and release from liability includes, without limitation, injuries which may occur as a result of (1) my use of all amenities and equipment in the Colchester Weightlifting Ltd. and facilities or premises and my participation in any activity, class and/or club programme, personal training or instruction (2) Equipment that may malfunction or break (3) their negligent instruction or supervision (4) any slipping and/ or falling dropping of equipment while on Colchester Weightlifting Ltd. premises.
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 training service and/or programme. I understand that results are individual and may vary.
I acknowledge that I have thoroughly read this waiver and release liability 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 Colchester Weightlifting Ltd. for injury or death of any person and damage to property caused by my negligent or intentional act or omission and the negligence or that of the employees, agents, or contractors of Colchester Weightlifting Ltd. I understand that by signing this form I am waiving valuable legal rights.
I agree to allow Colchester Weightlifting Ltd., its employees and volunteers to use picture(s), film and/or likenesses of me for advertising purposes. In the event I choose not to agree to the use of such media I must inform Colchester Weightlifting Ltd. of this in writing.