Assumption of Risk/Informed Consent Agreement and Release

 

Streaker Spin Studion located at in 62 Dundonald offers daily spinning classes to the local Bermuda community.

Streaker’s Spin Studio strongly encourages all participants to undergo pre-activity screening by a health care professional.  This screening would include an evaluation of lifestyle indicators that could increase the risk of heart disease or heart attack, including but not limited to cholesterol and blood pressure levels, smoking and physical activity patterns. 

We require this Informed Consent Agreement to limit our legal liability by securing your acknowledgment of potential risk associated with exercise.  All members must complete this Assumption of Risk/Informed Consent Agreement and Release form before attending a Streaker Spin Studio class.

I understand that part of the risk involved in undertaking any activity or program is relative to my own state of fitness or health (physical, mental or emotional) and to the awareness, care, and skill with which I conduct myself in that activity or program.  I acknowledge that my choice to participate in any class hosted by Streaker Spin Studio brings with it my assumption of those risks or results stemming from this choice and the fitness, health, awareness, care and skill that I possess and use.

I understand that my participation in Streaker’s Spin Studio classes is subject to and contingent upon my assurance to Streaker’s Spin Studio that I am not in a “high risk” category and am in suitable physical condition to engage in the type of exercise activities available at Streaker’s Spin Studio.  I understand that I am responsible for my own health, and that Streaker’s Spin Studio will make no inquiry into my physical suitability for participation in Streaker’s Spin Studio classes.  I understand that there is no regular supervision of my daily fitness activities by Streaker’s Spin Studio.  I also understand that there will not be a medical doctor or other health care provider available at Streaker’s Spin Studio should an emergency occur.

I acknowledge that my participation in Streaker’s Spin Studio is entirely voluntary.  I assume all responsibility for, and all risk of accident, damage or injury that may occur to me as a participant in Streaker’s Spin Studio.  I recognize that by participating in the activities and services offered by Streaker’s Spin Studio, I may experience potential health risks such as transient light-headedness, fainting, abnormal blood pressure, chest discomfort, muscle cramps and nausea and that I assume willfully those risks.  I acknowledge my obligation to immediately inform my doctor of pain, discomfort, fatigue or any other symptoms that I may suffer during and immediately after my participation.  I understand that I may stop or delay my participation in any activity or procedure if I so desire.  I understand that I may ask any questions or request further explanation or information about the activities and services offered by Streaker’s Spin Studio at any time before, during or after my participation.  I acknowledge however, that I am solely responsible for my decision to participate.

On behalf of myself, my heirs, representatives and assigns, I hereby release, hold harmless and forever discharge Streaker’s Spin Studio and all its affiliated companies and their owners, directors, employees and agents from all claims, demands, liabilities, rights or causes of action, present or future, whether known or unknown, anticipated or unanticipated, and resulting from or arising out of, or incident to, my participation in Streaker’s Spin Studio.

If I am married, I have discussed my participation in Streaker’s Spin Studio with my spouse, and my spouse has agreed to the terms of this Assumption of Risk/Informed Consent Agreement and Release.

I have been advised that this Assumption of Risk/Informed Consent Agreement and Release is a legally binding contract, which has important legal ramifications.  I understand that I would not be permitted access to Streaker’s Spin Studio without having agreed to this Assumption of Risk/Informed Consent Agreement and Release. 

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