The following invoice shows what you will be charged as you select classes to drop into.
In consideration for said membership, I hereby agree and warrant that:
Statement and Assumption of Risk
I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, and other people around me; injury or death due to improper use of or the failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself. I understand that I have an increased chance of suffering personal injury, including but not limited to bodily harm, permanent disability, dismemberment, and/or death by attending or participating in any RoxFire Fitness event, activity or class. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any RoxFire Fitness event, activity or class.
Release of Liability and Indemnification Statement
I understand that there are unavoidable risks involved with participation as a client/member of RoxFire Fitness, and I, individually, and on behalf of my minor child (if applicable), and on behalf of my/our heirs, successors, assigns, and personal representatives, hereby agree to indemnify and hold harmless and release and forever discharge LJ Regine, individually, RoxFire Fitness, their principals, agents, employees, independent contractors, and volunteers, from any and all liability and all claims and causes of action whatsoever for any damages to or loss of property, personal illness, and/or bodily injury (including death) caused by, deriving from, or associated with my and/or my minor child’s participation in any RoxFire Fitness event, activity or class and this release specifically includes any and all alleged acts of negligence on the part of LJ Regine, as well as any and all alleged acts of negligence on the part of any principals, agents, employees, independent contractors, and volunteers of RoxFire Fitness.
Statement of Health
I certify that neither I, nor any minor for whom I have signed, has any condition, diagnosis or circumstance that would prevent me / said minor from working out on the RoxFire Fitness premises or from participating in any RoxFire sponsored event. I acknowledge that I / said minor have no physical impairments, injuries, or illnesses that will endanger me / said minor or others.
If I have a question concerning my / said minor’s specific health situation, I confirm that I will immediately alert RoxFire Fitness and seek medical clearance before participating in any RoxFire Fitness class, activity or event.
I further certify that neither I nor any minor for whom I have signed, is presently sick, nor do I / said minor have a fever, nor have I / said minor been diagnosed with COVID-19 or with any symptoms or condition associated therewith. Neither I nor any minor for whom I have signed has been exposed to anyone diagnosed with COVID-19 or anyone otherwise displaying COVID-19 symptoms. I authorize RoxFire Fitness to take my temperature, and the temperature of any minor for whom I have signed, prior to allowing us to enter the RoxFire premises and prior to our participation in any RoxFire event on its premises or elsewhere. I further authorize RoxFire Fitness to request that I or any minor for whom I have signed to leave the RoxFire premises or any RoxFire event if we appear symptomatic, sick or otherwise appear unable to complete any workout and that we will honor such request without hesitation.
I give full permission on my behalf and on behalf of my minor child for RoxFire Fitness to administer First Aid / CPR / AED services they deem necessary, and in case of serious illness or injury, I give RoxFire Fitness personnel full and total permission to call for medical and/or surgical care for myself and/or my child and to have me and/or my child transported to a medical facility at no expense to RoxFire Fitness, its employees, agents, independent contractors or volunteers.
If at any time after signing this Addendum either I or any said minor for whom I sign develops any symptoms or medical condition of any kind, we will immediately cease our use of the premises and our participation in all RoxFire Fitness events. I / said minor agree to fully and completely sanitize every piece of equipment used, and all surfaces with which we come into contact without exclusion. Neither I nor any minor for whom I have signed will have direct, physical contact with anyone during any RoxFire Fitness classes, activities and events, and we will comply with CDC and WHO requirements and mandates of social distancing including but not limited to a minimum of six feet or more from other individuals and will take all necessary precautions to prevent the spread of COVID-19.
Participants involved in any activities offered by RoxFire Fitness may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the RoxFire Fitness website or in any editorial, promotional or advertising material produced and/or published by RoxFire Fitness.
Statement of Insurance
I am aware that RoxFire Fitness does not provide medical insurance coverage and therefore I take full responsibility for procuring my personal insurance and insurance for any minor child, if applicable. If I/minor child do not have insurance, I accept full, sole, and exclusive financial responsibility for any and all costs associated with any medical treatment arising out of our participation in any RoxFire Fitness class, activity or other RoxFire Fitness sponsored event. By signing herein, I affirm that I have read this Addendum in its entirety and that I understand its content and my responsibilities for compliance.
Choice of Law: Venue Selection
In the event of a lawsuit premised on my or my minor child’s participation in any RoxFire Fitness activity, class or event, I agree that all causes of action will be filed in Broward County, Florida, and that this Agreement shall be construed in accordance with the laws of the State of Florida.
If any term or provision of this Agreement shall be held illegal, unenforceable, or in conflict with any law governing this Agreement, the validity of the remaining portions shall not be affected thereby.
I confirm that I am over 18 and I execute this document with full knowledge of the contents and consequences stated in this Agreement.