Release and Waiver of Liability

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I, , have voluntarily enrolled in the No Excuse Mom Group located in ,, (Location).

 I recognize that participation may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.

 I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physician’s consent prior to beginning this fitness program, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in exercises that are appropriate for the current status of my health. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor if this activity is appropriate before I participate in such activity.

 I understand that this program is not medically supervised, and exercise activities are led by NEM group leaders/agents in addition to other program participants who are not employees or agents of NoExcuseMom.com and Maria Kang. I agree not to hold NEM group leaders/agents and/or Maria Kang responsible for the actions or omissions of the independent instructors or other program participants.

 I understand that I am solely responsible for my children while they are present at any No Excuse Mom meet up or event. I am responsible for them and their care should any injury of any kind occur.

COVID-19 SAFETY INFORMATION:
While participating in events held or sponsored by Fitness Without Borders/No Excuse Moms
“social distancing” must be practiced and face coverings worn at necessary times to reduce the
risks of exposure to COVID-19. 
Participants and volunteers agree to self-monitor for signs and symptoms of COVID-19
(symptoms typically include fever, cough, and shortness of breath) and, contact their group
leader if he/she experiences symptoms of COVID-19 within 14 days after participating or
volunteering with FWB.
FWB cannot guarantee that its participants, volunteers, partners, or others in attendance will not
become infected with COVID-19.

Your information

  (Your Email)

  (Telephone)

  (Age)

Your child/children information

 

 

 

 

In case of emergency, please provide the best person to call.

Emergency Contact: 

Phone Number: 

  (Participant Signature)