I, the participant, do hereby acknowledge that I am in good health and/or following my Dr’s advise on the kinds of activities I can perform. If under any counselor/psychiatrist care, I have made them aware of my participation in this class. I understand it is my responsibility to perform exercises that are consistent with my athletic ability and health and to stop my exercise should I feel symptoms of distress or abnormality. I understand and agree that I will receive exercise instruction and I hold harmless Purple Shamrock.
I am aware of the risks and hazards associated with participation in Purple Shamrock classes. The risks and hazards include, but are not limited to injuries or medical emergencies resulting from: executing physical activity; falls, damage to or theft of personal property, death, or consequential loss of any kind that would arise out of my participation in this event/activity.
I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representatives and next of kin that by confirming this document, I agree to accept all these risks and hazards and be responsible for any injury or other loss I may incur while participating in this program.