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Come and workout.

Name:

Phone Number:

Email:

What are your mental and physical goals and why do you want to hit them?

How do you rate your current health and fitness from 1 to 10 (10 being the best).

Comments or questions:

FOR GOOD AND VALUABLE CONSIDERATION, including permission to participate in YNV sponsored events and related activities, I, for myself, my successors, heirs, assigns, executors, administrators, spouse, and next of kin: 1. Agree that, prior to participating I will inspect the facilities, equipment, and areas to be used, and if I believe that any of them are unsafe, I will immediately advise the person supervising YNV sponsored events, YNV workout facility, activity, or area; Acknowledge that I fully understand that my participation may involve risk of serious injury or death, including economic losses, which may result not only from my own actions, inaction, or negligence, but also from the actions, inaction, or negligence of others, the condition of the facilities, equipment, or areas where YNV sponsored events or activity is being conducted, the rules of play, or this type of activity; Assume any and all risk of bodily injuries to myself, including medical or hospital bills, permanent or partial disability, death, and damages to my property, caused by or arising from my participation in YNV sponsored events or related activity; Covenant not to sue or present any claim for personal injury, property damage, or wrongful death against Your Next Victory, Inc, The City of Long Beach, The City of Santa Monica, The City of Santa Monica, their officers, employees, volunteers, and agents for damages attributable to my participation in any related activity; Release, waive, discharge, and relinquish Your Next Victory, Inc, The City of Long Beach, The City of Santa Monica,, The City of Santa Monica, their officers, employees, volunteers, and agents from any liability, loss, damage, claim, demand, or cause of action against them arising from or attributable to my participation in YNV sponsored events or related activity, whether same shall arise by their negligence or otherwise; 6. Agree that photographs, pictures, slides, movies, or videos of me may be taken in connection with my participation in YNV sponsored events or related activity without compensation from Your Next Victory, Inc or The City of Long Beach, The City of Santa Monica, The City of Santa Monica, and consent to the use of these photographs, pictures, slides, movies, or videos for any legal purpose.Warrant that I am in good health and have no physical condition that would prevent me from participating in YNV sponsored events or related activity. Clicking the sign up button RELIEVES YOUR NEXT VICTORY AND THE CITY OF LONG BEACH, THE CITY OF SANTA MONICA, FROM LIABILITY FOR BODILY INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE BY NEGLIGENCE. I HAVE READ THIS DOCUMENT, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS AND ASSUME ALL RISKS BY CHECKING THE BOX. I certify that I have fully read and understand the terms of this Agreement and will comply with the contents herein. PLEASE CHECK THE BOX IF YOU AGREEE WITH ALL THE CONTENTS HEREIN

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