I, the undersigned, being aware of my own health and physical condition, and
having knowledge that my participation in any exercise program may be injurious
to my health, am voluntarily participating in a physical activity.
Having such knowledge, I hereby acknowledge the release, any representatives,
agents, and successors from liability for accidental injury or illness which I may
incur as a result of participating in the said physical activity. I hereby assume all
risk and connected therewith and consent to participate in said program.
I agree to disclose any physical limitations, disabilities, ailments, or impairments
which may affect my ability to participate in said fitness program.

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