Waiver of Liability

 

I am participating in the exercise classes, workshops or health programs offered by Sloane Stecker Physical Therapy, P.C. during which I will receive information and instruction about fitness, nutrition, yoga and/or health.  I recognize that exercise requires physical exertion, which may be strenuous 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 a physician prior to and regarding my participation in the exercise classes, health programs or workshops offered through Sloane Stecker Physical Therapy, P.C.  I represent and warrant that I am physically fit and I have no medial condition, which would prevent my full participation in these exercise classes, health programs or workshops.

In consideration of being permitted to participate in the exercise classes, health programs or workshops, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program(s) offered by Sloane Stecker Physical Therapy, P.C.

In further consideration of being permitted to participate in the exercise classes, health programs or workshops, I knowingly, voluntarily and expressly waive any claim I may have against Sloane Stecker Physical Therapy, P.C. for injury or damages that I may sustain as a result of participating in these programs.

I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Sloane Stecker Physical Therapy, P.C. for any injury or death caused by their negligence or other acts.

I grant Sloane Stecker Physical Therapy, P.C. the irrevocable and unrestricted right to use my name, picture, image, likeness, actions, voice and other personally identifiable information for advertising, trade or any other lawful purposes.

I have read the above release and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.