Waiver While training with Dan Leary, contactors and employees of Northwest Athletic Performance, Seaside School District or Adamsons Jiu Jitsu. I understand that physical exercise can be strenuous and subject to risk of serious injury, you are urged to obtain a physical examination from a doctor before participating in any exercise activity. This waiver and release of liability includes, without limitations, all injuries which may occur as a result of: (a) your participation in any activity or personal training session and (b) instructions, training, supervision, or dietary recommendations by your personal Trainer. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally. I waive all rights to sue Dan Leary for any events that may be associated with the advice, I waive the right to sue for any and all injuries that I may acquire while participating in exercise programs advised by Dan Leary, contractors and employees of Northwest Athletic Performance or Adamsons Jiu Jitsu and or under the instructions of Dan Leary. * By checking this box, I am in full understanding of the statements above and will agree to all said above. Participant * First Name Last Name Electronic Signature * * By checking this box, I agree and understand that by signing the Electronic Signature Acknowledgment and Waiver, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. Date * MM DD YYYY Thank you! Your waiver has been submitted. Please reach out if you have any questions.-Dan Learyseasidebarbell@gmail.com Click here to download a paper version to sign and print.
