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LIABILITY WAIVER AND RELEASE FORM

 

POLE DANCING & OTHER FITNESS CLASSES

 

Please read this form carefully. By signing, you acknowledge that you fully understand and agree to its terms. Participation in any activity or class offered by Zero Gravity Pole is conditional upon signing and returning this form. If you have any questions, please seek clarification before signing.

 

RELEASE AND WAIVER OF LIABILITY

 

I, the undersigned participant, acknowledge and agree to the following:

    1.    Acknowledgment of Risk:

    •    I understand and accept that pole dancing and related fitness classes involve inherent risks, including but not limited to physical injury, property damage, or even death. I acknowledge that these risks exist despite the use of professional equipment, instructor supervision, and compliance with safety protocols.

    •    I further acknowledge that due to the nature of these activities, it is unreasonable for Zero Gravity Pole, its instructors, employees, directors, agents, or affiliates, to be held liable for any injuries or damages that may occur during participation.

    2.    Assumption of Responsibility:

    •    I voluntarily assume full responsibility for any injuries, damages, or losses that may arise as a result of my participation, whether caused by negligence or otherwise, to the fullest extent permitted by law in [Jurisdiction].

    3.    Release from Liability:

    •    I hereby release, waive, and discharge Zero Gravity Pole, its owners, instructors, employees, agents, and affiliates from any and all claims, liabilities, or causes of action that may arise out of or relate to my participation, including, but not limited to, claims for negligence, property damage, bodily injury, or death.

    4.    Equipment Use:

    •    I understand that the use of pole dancing equipment and other studio amenities is at my own risk. This includes, but is not limited to:

    •    Participation in any activity, class, or program;

    •    The unforeseen malfunction of equipment, despite being regularly maintained by professionals;

    •    Injury or harm resulting from instructor supervision or recommendations.

 

ALCOHOL AND DRUG POLICY

 

I acknowledge that participating in any class or activity under the influence of alcohol or drugs significantly increases the risk of injury or harm. I agree to:

    •    Refrain from consuming alcohol or mind-altering substances before or during any activity or class.

    •    Take full responsibility for any injury, loss, or damage caused by my failure to comply with this policy.

 

CODE OF CONDUCT

 

I agree to follow all instructions provided by the instructors at Zero Gravity Pole. I understand that:

    •    Failure to comply with instructor directions or engaging in misconduct may result in my immediate removal from the class or activity without a refund.

    •    Any non-compliance or misconduct increases the risk of injury, for which I assume full responsibility.

 

HEALTH DECLARATION

 

I confirm that:

    •    I have consulted with my physician regarding any health conditions, injuries, pregnancy, or other concerns that may affect my ability to safely participate in pole dancing or fitness classes.

    •    I am physically and medically fit to participate in these activities.

    •    I understand that Zero Gravity Pole does not recommend participation for pregnant individuals. Participation is at my own discretion and risk.

 

PHOTO AND MEDIA RELEASE

 

I grant Zero Gravity Pole permission to use photographs or videos taken of me during classes or events for promotional purposes, including but not limited to social media, marketing materials, and advertisements.

    •    I understand that such media may be edited for creative purposes (e.g., cropping, color correction).

    •    I agree that no compensation is required for this use.

    •    I retain the right to withdraw my consent at any time by providing written notice.

    •    I understand that Zero Gravity Pole will not sell or use the images in any way that misrepresents or exploits me.

 

SEVERABILITY CLAUSE

 

If any part of this agreement is found to be invalid or unenforceable by law, the remaining provisions shall remain fully enforceable and effective.

 

ACKNOWLEDGMENT AND AGREEMENT

 

By signing the digital form. I confirm that I have read, understood, and voluntarily agreed to the terms of this Liability Waiver and Release Form. I understand that I am waiving certain legal rights, including the right to sue, and that this waiver is binding upon myself, my heirs, next of kin, executors, administrators, and assigns.

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