PHIT Shop Waiver of Release and Liability & Photo Release Form

Event Address: 445 Oriana Rd, Suite 6, Newport News VA 23608 
Contact us at (757) 527-2857 or PHIT Shop
Sign in to Google to save your progress. Learn more
Name *
City & State you reside *

Social Media Handle: 

FaceBook and Instagram 

*
Phone Number *
Email *

The above “Releasor” grant permission and consent to PHIT Shop (the “Releasee”) for the use of the following photograph(s) as identified below for presentation under any legal condition, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content: 

Photography conducted in our facility and/or during an event sponsored by the PHIT Shop will be used for promoting, advertising, and marketing of the PHIT Shop business and brand.  

I understand that there shall be no payment for this release. 

I understand that I may revoke this authorization at any time by notifying the Releasee in writing. The revocation will not affect any actions taken before the receipt of this written notification. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived. 

We, the Releasor and Releasee, understand and agree to the aforementioned terms and conditions.

Waiver of Release and Liability

Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily participating in these activities and use of PHIT Shop facility and premises and assume all risks of injury, illness, or death. We are also not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. 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.

By typing "Agree" below and submitting this form you agree to all content herein PHIT Shop Waiver of Release and Liability & Photo Release Form.


*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy