In checking the box below, I agree that I willingly and knowingly enter in this release with Gumsaba, it’s officers, trainers, affiliates, executors in addition to the town of Alamo, Ca. The purpose of Gumsaba LLC is to provide fitness instruction. By checking the box below, I hereby acknowledge that the following was explained to me and I agree to the following:-

1.Acknowledge that if I feel over tired, feel pain or feel out of the ordinary in any way either related to the training, or otherwise, that I should immediately stop the activity contact a physician if needed.

2. I acknowledge that exercise the related movements, are a test of physical limits and, as with all activity, carry with it potential for bodily harm. I assume the risks of participating in this activity including the inherent dangers. I also acknowledge that I have a regular medical physician I can contact regarding any injuries I may sustain should that be necessary.

3. I have been offered the opportunity to review the facility and equipment by appointment where the fitness training will take place, and agree to participate as I deem safe to do so .

I expressly waive, release, discharge and agree not to bring a claim or lawsuit of any type for any liability, disability, personal injury, loss of use or income of any kind the following parties: Michelle Brown, Chad Jenkins, Gumsaba LLC or any of their affiliates and representatives including and insurers, except for claims arising out of intentional misconduct or gross negligence. I agree that this is the full agreement between the parties, that Gumsaba LLC, 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.