ATI GENERAL WAIVER

This agreement is between Aspire to Inspire/Mihwa Cliffe or Representatives (Instructor), and any additional Instructors who may be conducting classes as appointed by Aspire to Inspire/Mihwa Cliffe or Representatives (here after referred to as ATI) and the individual listed as participants. By entering the following information and checking the boxes you are hereby agree to the following liabilities, terms and conditions *

I Understand & Accept

Participant Information *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Do you consent to receive email updates from Aspire to Inspire/Mihwa Cliffe or Representatives? *

YES

NO

This is a legally binding Release, Waiver, Discharge and Covenant Not to Sue (collectively “Release”) the authorized ATI Instructor(s) for any injury, death, property damage or loss of any kind caused by my voluntary participation in any ATI class. This Release, Waiver, Discharge and Covenant Not to Sue is made voluntarily by me, the undersigned Releasor, on my own behalf, and on behalf of my heirs, executors, administrators, and legal representatives *

I Understand & Agree

I am participating in Fitness classes offered by ATI. I recognize that all fitness classes require physical exertion that may be strenuous and may cause physical injury, including death, and I am fully aware of the risks and hazards involved *

I Understand & Agree

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in ATI classes. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in ATI classes *

I Understand & Agree

In consideration of being permitted to participate in ATI classes, I agree to assume full responsibility for any risks, injuries or damages (known or unknown), property damage or loss of any kind which I may incur as a result of participating in ATI classes *

I Understand & Agree

I hereby grant ATI permission to use my likeness in a photograph or video in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of ATI and will not be returned. I hereby irrevocably authorize Aspire to Inspire/Mihwa Cliffe or Representatives to edit, alter, copy, exhibit, publish or distribute photograph or video of my likeness for purposes of publicizing ATI programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video. I hereby hold harmless and release and forever discharge Aspire to Inspire/Mihwa Cliffe or Representatives from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization *

I understand & Agree

I have read the above release, waiver of liability and assumption of risk, I fully understand its contents and I understand that I am giving up substantial rights, including my right to sue. I acknowledge that by submitting this waiver, I am signing the agreement freely and voluntarily and intend by my submission to be the complete and unconditional release of all liability. I voluntarily agree to the terms and conditions stated above. This agreement is irrevocable shall forever remain in effect *

I Understand & Agree

I understand that by submitting this form I accept the terms and conditions of this agreement *

I HAVE READ THE TERMS AND CONDITIONS OF THIS AGREEMENT AND I ACCEPT THE TERMS AND CONDITIONS OF THIS AGREEMENT

Date Signed *

MM

DD

YYYY

Must be completed by Parents/Guardians of participants under 18 years of age

First Name

Last Name

I here by consent to allow my child/ward to participate in ATI classes. I agree to the terms and conditions as set out in this waiver

I Understand the Terms and Conditions & I Agree