PT with John

$650

10 sessions with John

Your Information


Enter exactly 4 numbers, for future kiosk checkouts
Mvmnt Gym Liability Waiver (4404)

Express Assumption of Risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself or my partner(s).

    I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at MVMNT Gym. I, the undersigned acknowledge that I have no physical impairments or illnesses that will endanger myself or others. 


Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities at MVMNT Gym, I, the undersigned hereby release MVMNT Gym, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. 

    This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of the agreement in held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. 

    If I am signing on behalf of a minor child, I also give full permission for any person connected with MVMNT Gym to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child. 

Photo/Video Release: I hereby grant MVMNT Gym permission to use my photograph/video image in any and all publications for MVMNT Gym, including web site entries, without payment or any other consideration in perpetuity. I hereby authorize MVMNT Gym to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video images. I hereby hold harmless and release and forever discharge MVMNT Gym from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of on behalf of my estate which may have or may have by reason of this authorization.

Indemnification:  The participant recognizes that there is risk involved in the types of activities offered by MVMNT Gym. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless House of Each, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offer by MVMNT Gym. 


I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights. 

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