Rush Copley Healthplex General Waiver and Release of Liability Adult and Minor (under 18 yrs)

participant_name

In consideration of use of the exercise equipment, facilities or programs provided by the Rush Copley Healthplex, LLC, I agree on behalf of myself, my heirs, executors, administrators, successors and assigns not to hold or attempt to hold Rush Copley Healthplex, LLC, Copley Ventures, Inc. Rush Copley Medical Center, Inc. and their parent and any subsidiary or affiliate corporation, including its insurers, employees, officers, directors, associates, agents, volunteers or independent contractors (collectively, “Rush Copley Healthplex”), liable for any property damage, damages for personal injuries or death while I was in, on, or about the premises of Rush Copley Healthplex, LLC, or as a result of my use of the equipment, facilities, or participation in programs regardless of whether such injuries resulted, in whole or in part, from the acts or omissions of Rush Copley Healthplex or any third parties.

By my signing this Waiver and Release of Liability, I understand and acknowledge the use of exercise equipment, facilities, or participation in programs at Rush Copley Healthplex, LLC facility involve the risk of serious injury, including permanent disability and death. I further agree to voluntarily assume any and all risks and any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me. I further agree to defend, indemnify and hold harmless Rush Copley Healthplex from and against any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out my use of said equipment, facilities or participation in programs at Rush Copley Healthplex, LLC facility.

I further agree to comply with all rules and instructions imposed by Rush Copley Healthplex, LLC and its staff or independent contractors regarding the use of the equipment, facilities, or participation in programs. I agree to conduct myself in a controlled and reasonable manner at all times, and to refrain from using any equipment in a manner inconsistent with its intended design and purpose.

I understand and agree that Rush Copley Healthplex is not responsible for personal property that is lost, stolen, or damaged while in, on, or about the Rush Copley Healthplex LLC facility.

I acknowledge that I have carefully read this waiver and release of liability. I understand that it is a complete release of liability and express assumption of risk and indemnity agreement. I understand this means I am giving up my right, and the right of my spouse, children, executor, administrators, successors, heirs and assigns to bring legal action or assert a claim against Rush Copley Healthplex, for their alleged negligence, for any alleged defective equipment, or any of their acts or omissions, and that should I or anyone acting on my behalfassert any claim in contravention of the Agreement, I, or they, shall be liable for the expenses (including attorney's fees) incurred defending against any such action. All my questions have been answered and I voluntary agree to sign this General Waiver and Release of Liability.



Is the participant under 18 years of age?
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Guardian Name for Participation of Minor/Under 18 yrs
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