I agree that if I engage in any physical exercise or activity, or use any facilities or equipment in connection with the above–described activity, I do so at my own risk. This includes, without limitation, participation in any activity, class, competition, program, or instruction. I agree that I am voluntarily participating in these activities and using these facilities and premises, and assume all risk of injury, illness, damage or loss to me or my property that might result, including, without limitation, any loss or theft of any personal property. I have been advised and understand that prior to beginning any fitness program I should consult an appropriate physician for clearance to participate. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge TERRIO Therapy-Fitness, Inc. (and its affiliates, employees, agents, representatives, successors, and assigns) from any and all claims or c uses of action (known or unknown) arising out of negligence. This Waiver and Release of liability includes, without limitation, injuries which may occur as a result of (I) use of any exercise equipment or facilities which may malfunction or break; (II) improper maintenance of any exercise equipment or facilities; (III) negligent instruction or supervision; and (IV) my slipping and falling while included in the above-described activity.

I acknowledge that I have read this Waiver and Release and fully understand that it is a release of liability. I am waiving any right that I may have to bring a legal action to assert a claim against TERRIO Therapy-Fitness, Inc. for negligence.

I would like TERRIO Therapy-Fitness, Inc to not use photographic images of me (my child, if signed by parent of minor) during any/all aspects of my/my child's participation in the aforementioned activity and utilize such images for purposes of marketing, including television, print, and internet.