On behalf of myself or the minor I am the parent or legal guardian of, I understand and acknowledge that attendance at, use of, or participation in Centegra Health Bridge Fitness Center (CHBFC) facilities, pools, equipment, activities, or provided transportation could be dangerous and cause injury, including death, and is undertaken at my own risk. On behalf of myself and/or the minor I am the parent or legal guardian of, and my/our heirs, executors, and assigns, I fully waive, release and forever discharge Centegra Health Bridge Corporation, Centegra Health Fitness Center, LLC, and their respective affiliates, parents, subsidiaries, officers, directors, employees, agents, successors and assigns from any and all liabilities, claims, damages, demands, rights of action, and causes of action, known or unknown, anticipated or unanticipated, arising out of or relating to, attendance at, use of, or participation in CHFBC facilities, pools, equipment, activities, or provided transportation. On behalf of myself and/or the minor I am the parent or legal guardian of, I understand and acknowledge that this waiver and release of any and all liability begins on the date of my signature below and will remain in full force and effect until I revoke it in writing. My signature below verifies that I have read, understand and agreed to this waiver and release of any and all liability. ONE FORM MUST BE COMPLETED FOR EACH INDIVIDUAL PHOTO ID REQUIRED FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER STAFF AUTHORIZATION: ___________________________________
On behalf of myself or the minor I am the parent or legal guardian of, I understand and acknowledge that attendance at, use of, or participation in Centegra Health Bridge Fitness Center (CHBFC) facilities, pools, equipment, activities, or provided transportation could be dangerous and cause injury, including death, and is undertaken at my own risk. On behalf of myself and/or the minor I am the parent or legal guardian of, and my/our heirs, executors, and assigns, I fully waive, release and forever discharge Centegra Health Bridge Corporation, Centegra Health Fitness Center, LLC, and their respective affiliates, parents, subsidiaries, officers, directors, employees, agents, successors and assigns from any and all liabilities, claims, damages, demands, rights of action, and causes of action, known or unknown, anticipated or unanticipated, arising out of or relating to, attendance at, use of, or participation in CHFBC facilities, pools, equipment, activities, or provided transportation. On behalf of myself and/or the minor I am the parent or legal guardian of, I understand and acknowledge that this waiver and release of any and all liability begins on the date of my signature below and will remain in full force and effect until I revoke it in writing. My signature below verifies that I have read, understand and agreed to this waiver and release of any and all liability. ONE FORM MUST BE COMPLETED FOR EACH INDIVIDUAL PHOTO ID REQUIRED FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER STAFF AUTHORIZATION: ___________________________________