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Release of Liability 

In consideration of my child voluntarily participating in the activities and programs of 513 Performance Training and Physical Therapy LLC and using its facilities, equipment, and services, in addition to the payment of any fee or charge, I do hereby forever waive, release, and discharge 513 Performance Training and Physical Therapy LLC and its agents, employees, representatives, and all other acting on its behalf from any and all claims or liabilities for injuries or damages to my child's person and/or property, including those caused by the neglect or omission of those mentioned or others acting on their behalf, arising out of or connected with my child's participating in any activities, programs or services of 513 Performance Training and Physical Therapy LLC or the use of any equipment at various sites, including home, provided by and/or recommended by 513 Performance Training and Physical Therapy LLC.

I have been informed of, understand, and am aware that strength, flexibility, and aerobic exercise, including the use of equipment, is a potentially hazardous activity. I also have been informed of, understand, and am aware that fitness activities involve risk of injury, including remote risk of death or serious disability, and that my child is voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding, and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death. 

I acknowledge that my child's participation in the above is completely voluntary.

 

Media Release

I hereby give consent to 513 Performance Training and Physical Therapy LLC to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (if applicable) to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in this release.

I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits.

I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials.

I further acknowledge that there is no guarantee that any or all of the participants’ images or recordings will be used in any released media.

I have been informed that this authorization is voluntary and is subject to revocation at any time, except to the extent that action has been taken in reliance thereon, by notifying the organization in writing.

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          Download 513 Performance Training and Physical Therapy LLC Program Waiver​​