Release

    Please use the primary email that I should send program information to. 
    ​In consideration for permitting Participant to participate in programs at MISSION:midlife Wellness Studio, the undersigned, for themselves, and for their respective heirs, personal representatives and assigns, agree as follows:
     
    ASSUMPTION OF RISK: The undersigned hereby acknowledges and agrees that he/she understands the nature of MISSION:midlife Wellness Studio; that PARTICIPANT is qualified, in good health, and in proper physical condition to participate therein; that there are certain inherent risks with exercising with MISSION:MIDLIFE WELLNESS STUDIO; and that, except as expressly set forth herein, he/she, knowingly and voluntarily accepts, and assumes responsibility for, each of these risks, and all other risks and dangers that could arise out of, or occur during, PARTICIPANT’S participation in MISSION:MIDLIFE WELLNESS STUDIO. PARTICIPANT shall consult with his/her own physician for any and all medical questions, issues, and advice.
     
    INDEMNIFICATION AND HOLD HARMLESS: The undersigned hereby agrees to INDEMNIFY, DEFEND AND HOLD MISSION:MIDLIFE WELLNESS STUDIO HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities including, but not limited to, attorney’s fees, arising from, or in any way related to, Participant’s participation in MISSION:MIDLIFE WELLNESS STUDIO, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties, as applicable. Participant agrees that if an action is filed, it shall be filed in the State of New York, Oswego County.
     
    SEVERABILITY: The undersigned expressly agrees that the foregoing assumption of risk, release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
     
    ACKNOWLEDGMENT OF UNDERSTANDING: The undersigned has read this assumption of risk, release and indemnity agreement. The undersigned fully understands this assumption of risk, release and indemnity agreement, and acknowledges that the undersigned is giving up substantial rights in connection therewith, and that its’ terms are contractual, and not a mere recital. The undersigned acknowledges that he/she is signing this agreement freely and voluntarily.

    TO E-SIGN THIS PLEASE SIGN THIS WAY /s/FIRST NAME LAST NAME i.e.
    /s/Beth Dice

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