Zoom/Class participant release form
Mary Jo Brown, CLM Healthy Steps Instructor
Please read and understand all provisions before signing this document. If you do not understand, seek legal or other competent advice.
On this date, and under my own capacity, I do willingly enter into the participation of the exercises and movement known as Healthy-Steps, Moving you to better health with the Lebed Method (through BEV, LLC). This Agreement shall be binding upon my heirs, personal representatives, successors and assigns.
I understand and accept that the program known as Healthy-Steps incorporates exercise into its routine, and that the level of benefit that I gain from Healthy-Steps depends solely on my individual abilities, my level of participation, and my health. I agree to hold BEV, LLC and Healthy-Steps harmless from and against my not being able to participate fully in the program and my inability to achieve personal goals.
My participation in Healthy-Steps is voluntary and done at my own risk, with full acceptance of the risks and potential dangers associated with the program. I have consulted with my personal physician or medical care provider(s) about my participation and have received full clearance by the respective physician or provider(s).
The instructor reserves the right to refuse participation to any individual, determined by the instructor to be unfit to participate.=
In the event of an emergency during class, I authorize any emergency medical care, which may be necessary.
I agree to defend, indemnify and hold BEV, LLC, Healthy-Steps and the certified instructor harmless from and against any and all claims, loss, equipment malfunctions, damages, injury, liability and costs, including but not limited to reasonable attorney’s fees and court costs, however caused, resulting from, arising out of, or in any way connected with participation or action under this Participant Release Form, whether or not caused or contributed to by BEV, LLC, Healthy-Steps, or the Instructor(s), or by any negligence or alleged negligence on the party of any BEV, LLC’s or Healthy-Steps’ agents, trainers, instructors, invitees, employees, contractors, subcontractors or independent contractors.