Waiver & Release Form
In consideration of my being allowed to participate in the programs of Chrome Divas Pole Dance & Fitness Studio and to use its equipment, I agree to the following waiver and release:
1.) I, for myself, my heirs, executors or anyone else who may claim on my behalf, hereby waive, release and forever discharge, Chrome Divas Pole Dance & Fitness Studio and its employees, representatives, and agents from any and all responsibilities or liability from personal injury, death, damage to property or loss of any kind resulting from participation in any programs or my use of equipment in the above-mentioned activities.
2.) I do also hereby release Chrome Divas Pole Dance & Fitness Studio and its officers, agents, employees, and representative from any responsibility or liability for any injury or damage to myself, including those caused by negligence.
3.) I understand that strength, flexibility and aerobic exercise, including the use of equipment offered by Chrome Divas Pole Dance & Fitness Studio is a potentially hazardous activity with certain risks and benefits, some of which include but are in no way limited to: soft tissue injuries such as wounds, bruises, muscle strain, muscle soreness, sprains, acute strains, broken bones, head injuries, back/neck injuries, knee/foot injuries, heart attacks, death, improved cardiovascular fitness and flexibility, increased strength and muscle tone.
4.) I also understand that while some of the risks and hazards involved in using the equipment of Chrome Divas Pole Dance & Fitness Studio are foreseeable, others are not. I understand that fitness activities involve a risk of injury and even death, and I am voluntarily participating in these activities and using equipment with knowledge of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death.
5.) I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate in activities and use equipment without the approval of my physician and do hereby assume all responsibility for my participation and activities and utilization of equipment and machinery in my activities.
6.) I understand that the owners/employees/instructors of Chrome Divas Pole Dance & Fitness Studio are not medical personnel, may make no medical judgments, give no medical advice and provide no medical care or therapy.
7.) I understand that all of the choreography, instructional techniques, as well as the class structure contained within these classes have been created expressly for 'Chrome Divas Pole Dance & Fitness Studio' by its owner/creator, and fall under copyright/trademark laws as intellectual property, and may not be resold or bartered for material gain or material profit of any kind without express written permission and fair compensation to ‘Chrome Divas Pole Dance & Fitness Studio .’
8.) I consent and agree that the Chrome Divas Pole Dance & Fitness Studio , its employees, or agents have the right to take photographs, videotape, or digital recordings of me and to use these in any and all media, now or hereafter known, and exclusively for the purpose of promoting the Chrome Divas Pole Dance & Fitness Studio services.
9.) I agree to abide by all studio policies and procedures of Chrome Divas Pole Dance & Fitness Studio I have read, understand, and have had the opportunity to ask questions regarding this legal document and I hereby unconditionally release Chrome Divas Pole Dance & Fitness Studio , its officers, agents, representatives, employees and instructors from any and all liability resulting from any injuries which may result from classes, instruction, parties, events and/or equipment.
In addition, I understand and acknowledge that:
• Payment is required before classes for all Drop-In Classes, Class Cards, Workshops and Parties including all packages.
• Payments for all of the above are non-refundable and non-transferable.
• All cancellations must be conducted more than 6 hours prior to the class start, or a Php 250 cancellation fee will be applied.