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Required fields are marked with *
\ \ \ \ \ \ \ \ \Waiver and Release of Liability Form
In consideration of being allowed to participate in the activities and utilization of provided equipment in the Cone Health FitnessCenters, I do hereby waive, release and forever discharge Cone Health, its officers, agents, directors, employees, and representatives from any and all responsibility or liability arising out of or related to injury or damage resulting from my participation in any activities or my use of equipment in the above mentioned Cone Health Fitness Centers. I understand that my participation in activities and use of any and all equipment in the Cone Health FitnessCenters (a) is completely voluntary and is not a condition of employment, (b)is not within the scope of my employment and not part of my job duties, and (c)will be conducted on my own time. Therefore, I understand that Cone Health will not be liable for any worker’s compensation claims resulting from any injury or damage as mentioned above.
Waiver and Release of Liability for Non-Employees
In consideration of being allowed to participate in the activities and utilization of provided equipment in the Cone Health FitnessCenters, I do hereby waive, release and forever discharge Cone Health, its officers, agents, directors, employees, and representatives from any and all responsibility or liability arising out of or related to injury or damage resulting from my participation in any activities or my use of equipment in the above mentioned Cone Health Fitness Centers. I understand that my participation in activities and use of any and all equipment in the Cone Health FitnessCenters (a) is completely voluntary and is not a condition of employment, (b)is not within the scope of my employment and not part of my job duties, and (c)will be conducted on my own time. Therefore, I understand that Cone Health will not be liable for any worker’s compensation claims resulting from any injury or damage as mentioned above.
I understand and am aware that strength, flexibility and aerobic exercises, including the use of equipment, are potentially hazardous activities. I also understand that fitness exercises involve a risk of injury or even death, and that I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I understand that it is highly recommended to consult with my physician prior to undertaking participation in any exercise program or use of equipment. I hereby expressly assume and accept any and all risks of injury or death.
I agree to follow any and all policies and procedures regarding the utilization of the Cone Health Fitness Centers. I also agree that prior to utilization of any equipment; I will read the equipment instruction manuals or attend an Equipment Orientation to understand how to use the equipment safely.
I agree to refrain from sharing access with any individual regardless of the circumstance or situation.
Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Cone Heath programs or accessing the Cone Health Fitness Centers could increase the risk of contracting COVID-19. Cone Health in no way warrants that COVID-19 infection will not occur through participation in fitness activities or accessing the Cone Health Fitness Centers.
I hereby agrees, represents, and warrants that neither I nor such participating children shall visit or utilize the Cone Health Fitness Centers, services, and programs of Cone Health (other than any exclusively online services and programs) within 14 days after (i) returning from highly impacted areas subject to a CDC Level 3 Travel Health Notice, (ii) exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, or (iii) exposure to any person who has a suspected or confirmed case of COVID-19. The CDC Travel Health Network is continuously updating this list and I agree that I am aware of this list and the countries listed.
I agree to check the CDC Travel Health Notices list prior to utilizing the Cone Health Fitness Centers, services, and programs of Cone Health, on a daily basis if necessary. I hereby agree, represent, and warrant that neither I nor such participating children shall visit or utilize the Cone Health Fitness Centers, services, and programs of Cone Health if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. I agree to notify Cone Health immediately if I believe that any of the foregoing access/use restrictions may apply. I acknowledge and assume both the known and potential dangers of utilizing the facilities, services, and programs of Cone Health (including without limitation the Cone Health Fitness Centers) and acknowledge that my use thereof (or the use by my participating children) may, despite Cone Health’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.
The undersigned further states that he/she has carefully read the foregoing release and knows the contents thereof and that he/she signs the same as his/her own free act.
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