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Waiver, Release from Liability, and Assumption of Risk
I hereby acknowledge that I should consult with my physician before beginning any exercise Program.
I certify that I am not aware of any medical condition which would render me unfit to participate in any exercise program and that I will inform elev8 immediately of any change in my medical condition.
I agree that if I experience symptoms such as shortness of breath, chest pain, unusual fatigue, dizziness or fainting, or extreme pain, whether or not I am under the direct supervision of my trainer, I will immediately stop exercising and inform a representative of elev8 of my symptoms.
I understand that exercise is very healthy for me; however, I have been informed of a very serious, yet rare muscular injury know as rhabdomyolysis (hereinafter, “Rhabdo”).
Rhabdo can occur when an individual’s physical activity is so intense that muscular cells begin to breakdown and the contents and/or remaining materials enter the bloodstream. Rhabdo may be caused by many other systemic or environmental causes, including but not limited to alcoholism, genetics, and dehydration). Rhabdo can occur in athletes of all levels of fitness, resulting in muscle cell destruction. The skeletal muscle breakdown impairs kidney function as those organs are unable to handle increased enzymes that are released into the bloodstream. This induces severe physiological changes in the body.
The symptoms of Rhabdo include muscle pain, stiffness and extreme weakness, darkening of the urine (similar to the color of tea or cola), decreased urine output, altered mental status, swelling the body part involved, either with or without pain. Generally the pain that is referred to as a Rhabdo symptom is pain out of proportion to the amount of soreness that one would generally expect, often producing pain much quicker than one would expect after a workout.
It is best to have a sufficient strength base before starting a high-intensity, power-based training plan. If you are not strong enough to perform a certain exercise by itself, let the coach know so he/she can modify the regime accordingly.
To prevent Rhabdo, make sure you start slow and gradually increase the intensity of each workout. Drink plenty of water, and avoid exercise in a hot and humid environment.
√ I understand that any concerns on my part that I am experiencing any of the symptoms of Rhabdo require immediate presentation to a hospital for emergency treatment. I acknowledge that no third party, either from the facility or otherwise, will be capable of monitoring my urine output or color, and it is my responsibility to be continually cognizant of this symptom and all other symptoms and to monitor them in my own body at all times. I agree that I will remove myself from participation and seek medical treatment of my own account should I have any concerns regarding possible symptoms of Rhabdo.
√ I acknowledge and fully understand that statistically, the chances of me developing Rhabdo are extremely slight, but I likewise appreciate the necessity that I be aware of the symptoms of this condition. I agree to monitor myself in a manner that is proportionate to the potential injury that can be occasioned by this condition. I acknowledge and understand that I am the only individual capable of determining if I am experiencing Rhabdo symptoms. I hereby agree and do willingly assume responsibility for any risks that I expose myself to and accept full responsibility for any injury or death that may result from participating in this significantly demanding activity.
√ I acknowledge and understand that all individuals engaged in demanding workouts are potentially exposing themselves to Rhabdo or other injuries/negative physical results. However, I understand that statistically individuals most likely to experience Rhabdo are those who are in good shape by general standards or who were previously in good physical shape. This includes individuals who were prior athletes and/or prior military personnel, law enforcement or firefighters. I acknowledge that often the more mentally tough a potential athlete is and the more athletic they were in the past or currently are, the greater the risk of Rhabdo.
I authorize any representative of elev8 to obtain emergency medical treatment for me, including transportation to a hospital or other medical facility.
I understand and acknowledge that there are risks inherent in any exercise program including, but not limited to, heart attack, stroke, orthopedic injury, injuries caused by using the exercise equipment and others. These injuries can occur suddenly and without warning, and may result in death. I am voluntarily participating in this training program with knowledge of the dangers involved, and I hereby agree to accept any and all risks of injury or death.
Member recognizes that there is risk involved in the types of activities offered by elev8. Therefore, the member 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 elev8, 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 offered by elev8, at the main building or abroad. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training by elev8.
The provision of this document shall continue to full force and effect even after the termination of member’s membership with elev8.
If I am signing on behalf of a minor child, I also give full permission for any person connected with elev8 to administer first aid deemed necessary, and in care 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.
With the opportunity to fully inform myself about Rhabdo and the risks thereof, I knowingly and freely assume all such risks both known and unknown. I assume full responsibility and all risks from my participation in any physical activity at the facility. I, for myself and on behalf of my heirs, assigns, personal representatives and/or next of kin, forever waive, release, discharge, and covenant not to sue elev8 and/or their officers, directors, representatives, partners, officials, agents or employees, subsidiaries, or assigns, as well as their independent contractors.
I have carefully read this release and fully understand its contents. I am at least 18 years of age. I am aware that this is a release of liability between me and elev8, and I sign it of my own free will.
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