FIT BY FAITH, LLC LIABILITY WAIVER, ASSUMPTION OF RISK, AND RELEASE
PLEASE READ CAREFULLY BEFORE SIGNING
This document is a legally binding agreement. By signing, you acknowledge and agree to the terms
outlined below.
Participant Name (Printed): _______________________________________
Date of Birth: ________________(must be over 18 years of age)_
Email: _______________________________________
Phone: _______________________________________
1. Acknowledgment of Risks
I, the undersigned participant, understand that participation in Fit by Faith LLC dance cardio and
conditioning classes involves strenuous physical activity that may carry inherent risks of injury, illness, or
other health concerns which cannot be eliminated regardless of the reasonable care taken to avoid
injuries. These risks include, but are not limited to, muscle strains, sprains, fractures, joint injuries,
dislocations, cardiovascular events, fainting, dizziness, falls, and in rare cases, serious injury, disability,
or even death.
I acknowledge that these classes may involve strenuous physical exertion, including various dance
movements, cardiovascular exercises, and strength conditioning, and that these activities carry certain
inherent risks that cannot be entirely eliminated regardless of the care taken to avoid injuries.
2. Voluntary Participation and Assumption of Risk
I understand that my participation in Fit by Faith LLC classes is entirely voluntary. I am choosing to
participate with full knowledge and understanding of the potential risks involved. I hereby voluntarily
assume all risks, known and unknown, associated with my participation in Fit by Faith LLC classes,
including but not limited to those risks mentioned above.
3. Health and Physical Condition
I represent and warrant that I am in good physical condition and have no medical condition, injury, or
disability that would prevent or limit my safe participation in Fit by Faith LLC classes. I have consulted
with a physician or other qualified healthcare professional and obtained medical clearance to participate
in strenuous physical activity, or I have elected not to do so and understand that I am solely responsible
for this decision.
I agree to inform the instructor of any physical limitations, injuries, or medical conditions that may affect
my ability to participate safely before each class. I understand that it is my responsibility to monitor my
own physical condition and to discontinue any activity if I experience pain, discomfort, dizziness, or any
other concerning symptoms.
4. Release and Waiver of Liability
In consideration for being permitted to participate in Fit by Faith LLC classes, I, on behalf of myself, my
heirs, executors, administrators, personal representatives, and assigns, hereby release, waive,
discharge, and covenant not to sue [Holli Jacobs/Fit by Faith LLC Brand Name], its instructors,
employees, agents, volunteers, and affiliates (collectively, the "Released Parties") from any and all
liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage,
injury, illness, or death, including property damage, that may be sustained by me while participating in Fit
by Faith LLC classes, regardless of how or where such injury, loss, or damage occurs, and even if
caused by the negligence of the Released Parties.
5. Indemnification
I agree to indemnify and hold harmless the Released Parties from any and all claims, actions, suits,
procedures, costs, expenses, damages, and liabilities, including attorney’s fees, arising from or related to
my participation in Fit by Faith LLC classes, including any injury or damage to myself or others, or
damage to property, even if caused by the negligence of the Released Parties. I further agree to notify
Holli Jacobs in the event that such physical concerns arise are a result of my participation or of any
injuries resulting from the facilities used.
6. Medical Treatment Authorization
In the event of an injury or medical emergency during a Fit by Faith LLC class, I authorize the instructors
or agents of Fit by Faith LLC to seek and obtain emergency medical attention on my behalf if I am unable
to do so. I understand that I am solely responsible for any medical expenses incurred.
7. Photo/Video Release I grant Fit by Faith permission to capture and use photographs and/or video
recordings of my participation in Fit by Faith LLC classes for promotional and marketing purposes. This
includes, but is not limited to, use on social media (like Instagram and Facebook), website, and any print
materials. I understand that I will not receive any compensation for the use of these images or videos,
and I waive any right to inspector approve the finished product.
I specifically grant Holli Jacobs/Fit by Faith LLC brand permission to use photographs and/or video
recordings of my participation in Fit by Faith LLC classes for promotional and marketing purposes,
including but not limited to social media, website, and print materials, without further compensation or
notification.
8. Severability
I agree that if any portion of this waiver is held to be invalid, the remainder of the waiver shall remain in
full force and effect.
9. Governing Law
This waiver shall be governed by and construed in accordance with the laws of the Commonwealth of
Kentucky & Florida.
I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, AND
UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I
ACKNOWLEDGE THAT I AM SIGNING THIS AGREEMENT FREELY AND VOLUNTARILY, AND INTEND
BY MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO
THE GREATEST EXTENT ALLOWED BY LAW.
Participant Signature: ____________________
Date: _____________