In consideration of the acceptance by sponsors of my participation in the Shaina Young
Wellness Program, I, the undersigned, intending to be legally bound for myself, my heirs,
executors, administrators, and assignees, do hereby waive, release and forever discharge the
sponsors of this program, their agents, representatives, successors, and assignees, from all
liabilities, actions, claims, demand, damages, costs, and expenses, which I may now or in the
future have against them or any of them arising out of or in any way connected with my
participation in the program, including but not limited to all injuries that may be suffered by me. I
understand that this waiver includes, but is not limited to any claims that are based on
negligence or other action or inaction of the above named parties. In consideration of the
acceptance of my entry, the undersigned indemnifies and holds harmless Shaina Young
Wellness, its officers, directors, agents, and employees against all liabilities, claims, damages,
and expenses of every kind and nature which grow out of or are in any way connected with the
conduct or organization of this program.
1. I understand and am aware that strength, flexibility, and aerobic exercise, including the
use of equipment, is a potentially hazardous activity. I also understand that fitness
activities involve a risk of injury and even death, and I am voluntarily participating in
these activities and using equipment and machinery with knowledge of the dangers
involved. I hereby agree to expressly assume and accept any and all risks of injury or
death.
2. I do hereby further declare myself to be physically sound and suffering from no condition,
impairment, disease, infirmity, or other illness that would prevent my participation or use
of equipment and machinery. I acknowledge that is has been recommended that I have
a yearly or more frequent physical examination and consultation with my physician as to
my physical activity, exercise, and use of exercise and training equipment so I might
have their recommendations concerning these fitness activities and equipment use. I
acknowledge that I have had a physical examination and have been given my
physician’s permission to participate, or that I have decided to participate in activity and
use of equipment and machinery 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.