Gumsaba Guardian Waiver

Gumsaba Release of Liability for Minor

In checking the box below, I the undersigned, agree that I willingly and knowingly enter in this release with Gumsaba LLC, Michelle Brown and to the town of Alamo in the county of Contra Costa. The purpose of Gumsaba LLC 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 LLC 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 LLC 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 circuit training, weight training, agility, and any other related sports are a test of one’s mental and physical limits and carry with it potential for bodily damage. I assume the risks of participating in these types of activities including the inherent dangers of fitness training in a gym environment, that I am fit, and I have a regular medical physician I can contact regarding any medical problems I might develop.

5. Acknowledge that COVID19 poses a risk and that I will abide by the social distancing rules outlined by Gumsaba LLC.

I expressly waive, release, discharge and agree not to sue from any liability of death, disability, personal injury, or action of any kind Gumsaba LLC, Michelle Brown 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 am the legal guardian of the participant listed below.

I have explained to the participant items 1 through 5 above and have emphasized that if they are worried about their safety, or health, or feel pain or injury that they are to stop the activity and advise Michelle Brown. By checking the box below my name below, I agree to the conditions of this waiver.