Medical Liability Release Form

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MEDICAL LIABILITY RELEASE FORM
In consideration for my child being permitted to participate in the Elite Kids Fitness Program as set forth above, I release and hold harmless Elite Fitness, its agents, employers, employees, members, independent contractors, and any of its affiliates from any and all liability for injury to my child ________________or to property resulting from the negligence or other acts, howsoever caused, by any agent, employer, employee, member, or independent contractor of Elite Fitness, or its affiliates, as a result of my child’s participation in the Elite Kids Fitness Program. I further agree that I, my assignees, and legal representatives will not make a claim against, sue, or attach the property of Elite Fitness, or its agents, employers, employees, members, independent contractors, and any of its affiliates, arising out of any such injury.

I understand that this program will involve motion, height and various physical challenges, and I hereby agree that _______________ (child’s name) may participate in such activities that could result in injury. I acknowledge that I have discussed with my physician the appropriateness of this program in connection with any illness or condition that my child may now have or previously had, and that I knowingly execute this release from liability and negligence.

I HAVE CAREFULLY READ THIS RELEASE FORM AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND IS A CONTRACT BETWEEN MYSELF AS PARENT AND GUARDIAN OF MY CHILD AND ELITE FITNESS AND ITS AFFILIATES, AND SIGN IT OF MY OWN FREE WILL.

Parent Signature________________________________ Date___________________

Print Parent Name_______________________________

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