Waiver Of Liability

Liberty Performance Training, LLC
Waiver, Release, and Assumption of Risk Form

I have volunteered to participate in a fitness program provided to me by Liberty
Performance Training (“Club”), which may include, but may not be limited to,
resistance training and aerobic or cardiovascular exercise on equipment within
Club. In consideration of Club’s agreement to instruct and train me, I do here now
and forever release and discharge and hereby hold harmless Club and its respective
agents, heirs, assigns, contractors, and employees from any and all claims,
demands, damages, rights of action or causes of action, present or future, arising
out of or connected with my participation in this or any exercise program including any injuries resulting there from.

THIS WAIVER AND RELEASE OF LIABILITY INCLUDES,
WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A
RESULT OF (1) EQUIPMENT BELONGING TO TRAINER OR TO
MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP,
FALL, DROPPING OF EQUIPMENT; (3) AND/OR NEGLIGENT
INSTRUCTION OR SUPERVISION.

I have been informed of, understand and am aware that any exercise program,
whether or not requiring the use of exercise equipment, is a potentially hazardous
activity. I also have been informed of, understand and am aware that any exercise
and/or fitness activities involve a risk of injury, as well as abnormal changes in
blood pressure, fainting, and a remote risk of heart attack, stroke, other serious
disability or death, and that I am voluntarily participating in these activities and
using equipment and machinery with full knowledge, understanding and
appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death.

I have been advised that an examination by a physician should be obtained by anyone
prior to commencing a fitness and/or exercise program or initiating a substantial
change in the amount of regular physical activity performed. If I have chosen not to
obtain a physician’s consent prior to beginning this fitness program with Trainer, I
hereby agree that I am doing so solely at my own risk. In any event, I acknowledge
and agree that I assume the risks associated with any and all fitness related activities
and/or exercises in which I participate. Any question you ask will be answered to the
best of the Club’s ability. All information you provide will be held in confidentiality.
I understand the risk of injury from Club activities and using any Club equipment is
significant, including the potential for permanent paralysis and death, I
KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and
unknown. I acknowledge that this is an UNSUPERVISED FITNESS CENTER
during certain hours and I assume all risks associated with using exercise equipment
and other products and machines and exercising alone without the aid and presence
of Club staff on the premises. In addition, I acknowledge that club
activities may include outdoor activities which may present additional risks, such as slippery surfaces, uneven surfaces, loose rock or gravel, and unseen roots and other
items. I understand that Liberty Performance Training, LLC is independently owned
and operated. I HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS
Liberty Performance, LLC and its affiliates, INCLUDING THE OWNERS OF ALL
CLUBS, as well as all sponsors and advertisers, WITH RESPECT TO ANY AND
ALL INJURY, DISABILITY, DEATH, LOSS OR DAMAGE to person or property
that may arise out of or in connection with my use of any of the equipment products
and machines or the facilities of the CLUB, or any indoor or outdoor exercise
program offered at or by the CLUB, or any incident that is otherwise related to my
membership. I expressly agree that this release is intended to be as broad and
inclusive as permitted by applicable law and if a portion of this release is held invalid,
the balance shall remain in full force and effect. This release shall apply to my heirs,
assigns, personal representatives and any other next of kin. I hereby acknowledge
that this facility is under 24-hour recorded video surveillance, which may be retained
by the Club for subsequent review. I am for no reason to allow access to anyone else
using my membership without consent of the Club and their subsequent approval
based on Club policy. If I bring a guest at any time without the knowledge of the
Club, I am subject to membership termination as well as legal action should the guest damage or remove any equipment or sustain a personal injury.

I will be issued one code combination that allows access through the main entrance
via deadbolt & automatic locking system. I am responsible for its safekeeping and
responsible use. I will not give the code to anyone. Unique code combinations that
are passed along freely by members represent a serious security threat to the Club
and its members. Misuse of these codes will result in immediate termination of
membership. I will be required to check in any time I use the facility, including during hours when the facility is not staffed.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN
ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF
LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I
OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR
ASSERT A CLAIM AGAINST CLUB FOR YOUR NEGLIGENCE OR THAT
OF YOUR EMPLOYEES, AGENTS, OR CONTRACTORS.
This form is an important legal document that explains the risks you are
assuming by beginning an exercise program. It is critical that you have read
and understand this document completely. If you do not understand any part
of this document, it is your ultimate responsibility to ask for clarification prior to signing it.