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No Excuse Mom | September 22, 2018

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Release and Waiver of Liability

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I, , have voluntarily enrolled in the No Excuse Mom Group located in ,, (Location).

I recognize that participation may involve strenuous physical activity including, but not limited to, muscle strength and endurance training, cardiovascular conditioning and training, and other various fitness activities.

I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise program. I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physician’s consent prior to beginning this fitness program, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in exercises that are appropriate for the current status of my health. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor if this activity is appropriate before I participate in such activity.

I understand that this program is not medically supervised, and exercise activities are led by NEM group leaders/agents in addition to other program participants who are not employees or agents of NoExcuseMom.com and Maria Kang. I agree not to hold NEM group leaders/agents and/or Maria Kang responsible for the actions or omissions of the independent instructors or other program participants.

I understand that I am solely responsible for my children while they are present at any No Excuse Mom meet up or event. I am responsible for them and their care should any injury of any kind occur.

 I hereby authorize Fitness without Borders/NoExcuse Moms to publish photographs taken of me and/or the undersigned minor children, and our names, for use in the nonprofit's printed publications, website, social media. I release No Excuse Moms from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize the FWB/NEM to use their photographs and names. I acknowledge that since participation in publications, website, social media produced by No Excuse Moms confers no rights of ownership whatsoever. I acknowledge that participation in print, website, social media produced is voluntary, neither the minor not I will receive financial compensation.

Your information

  (Your Email)

  (Telephone)

  (Age)

Your child/children information

 

 

 

 

In case of emergency, please provide the best person to call.

Emergency Contact: 

Phone Number: 

  (Participant Signature)