I, the undersigned, am voluntarily participating in physical training and exercise activities at the Dr. Goldie Crocker Wellness Center (Wellness Center). I am aware that there are significant and inherent risks involved in all aspects of physical training and exercise activities. These risks include, but are not limited to, health incidents, accidents, falls and other incidents resulting in injuries including cramps, floor burns, sprains, bruises, muscle injuries, fractures, cardiovascular or pulmonary problems, and other injuries or death due to my own negligence, the negligence of other persons, improper use or failure of equipment, variations in floor surface conditions, negligence in maintaining the premises and equipment and other hazards. For and in consideration of being permitted to use Dr. Goldie Crocker Wellness Center, I assume all risks in any way connected with or related to physical training and exercise activity and use of the Wellness Center and hereby release, waive and covenant not to sue NHTI – Concord’s Community College, the Community College System of New Hampshire and its trustees, officers, directors, employees and agents (Releasees or NHTI) for any and all claims which I may have relating to personal injury or death, theft or destruction of, or damage to personal property, and from any and all liability whatsoever to me relating to my use of the Dr. Goldie Crocker Wellness Center whether caused by negligence of the undersigned, Releasees, or otherwise.
I acknowledge having read and knowing NHTI’s rules, regulations, policies, and procedures relating to use of the Wellness Center, the activities, facility and equipment that I may be using and understand that safe and proper participation in activities and use of the facility and equipment is dependent upon carefully following such policies and procedures. I further acknowledge that I have the requisite skills, qualifications, physical ability and training necessary to properly and safely participate in the activities and use the facility and equipment. If I have any questions as to what skills, qualifications, level of fitness or training is necessary to properly and safely participate in the activity or use the facility or equipment, I will ask an appropriate staff member at the Wellness Center. I further acknowledge that I have been given an opportunity to participate in an orientation and to ask questions and understand what is expected of me. I understand that failure to follow NHTI’s rules, regulations, policies, and procedures may result in sanctions including but not limited to loss of privileges at the Wellness Center.
I certify that I am in adequate physical condition and physically able to properly and safely participate in the activities and use the facility and equipment. I understand that I should consult a physician before participating in any physical training and exercise activities.
In the case of an incident warranting medical attention, I expressly authorize NHTI to obtain medical treatment for me. I agree that I will be financially responsible for any costs of such medical treatment and all action taken on my behalf. I agree to hold Releasees harmless from any and all claims which I may have arising out of or related to such medical treatment and all action taken on my behalf.
I have read and understand the foregoing Waiver and Release of Liability and I understand that by signing this form I am waiving valuable legal rights and taking on significant obligations.