In checking the box below, I agree that I willingly and knowingly enter in this release with Gumsaba, its officers, trainers, affiliates, executors in addition to the City of Walnut Creek, the Town of Moraga, the Town of Alamo, the City of Danville, the City of San Ramon, the City of Dublin and the City of Lafayette in the county of Contra Costa. The purpose of Gumsaba is to provide fitness instruction and coaching for various levels of athletes/individuals. By checking the box below I hereby acknowledge that the following was explained to me and/or agree to the following:

1. Acknowledge that Gumsaba and its representatives are not physicians and are not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice.

2. Acknowledge that coaching/training is another tool for teaching athletes/individuals about themselves, but that Gumsaba does not guarantee neither good nor bad will occur nor guarantees the training advice given by Gumsaba will produce good nor bad results.

3. Acknowledge that the I have been told that if I feel tired, feel pain or feel out of the ordinary in any way either related to my training, or otherwise, that I should contact a physician at once.

4. Acknowledge that boot camps, aerobic classes, martial arts, self defense, kick boxing, hill running, circuit training, kung-fu, weight training, obstacle courses, and any other related sports are an extreme test of one’s mental and physical limits and carry with it potential for damage or loss of property, serious injury and death. That I assume the risks of participating in these types of events/activities including the inherent dangers of the natural elements, that I am fit, and I have a regular medical physician I can contact regarding any medical problems I might develop.

I expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Gumsaba or any of its affiliates and representatives for myself in said sporting events and/or training for said sporting events. I agree that this is the full agreement between the parties, that Gumsaba, nor anyone else has not verbally contradicted any of the terms of this release and that I have entered into this agreement freely and voluntarily without force or coercion.

 





I AGREE

First Name (required)

Last Name (required)

Email (required)

Human Test (required)

UA-29456905-1