Adult Liability Waiver and Release Flux Movement Practice

Please read carefully.

In consideration of my being allowed to participate in the training provided by Darci Anderson (“Anderson”) and the use of Anderson's facilities, I, the undersigned, agree to the following:

1. Assumption of Risk.

I acknowledge and accept that Fitness Programs and Exercise in general

involves inherent risks, including, but not limited to:

• cuts and abrasions resulting from skin contact with moving parts of exercise equipment or any other surface;

• all manner of injury resulting from my slipping or falling while using exercise

equipment or participating in other forms of exercise and hitting the floor, walls, other people or exercise equipment:

• all manner of injury resulting from my slipping or falling while participating in warm-up, workout, stretching or special classes (e.g. Parkour classes) in the gym or surrounding areas (alley, backyard, park etc.);

• all manner of injury while using the stretching areas, shower and washroom facilities;

• all manner of injury resulting from my slipping or falling whilst on Anderson premises including all walkways, hallways etc. And:

• failure to follow instruction of coaches or my physician.

I further acknowledge that the above list is not inclusive of all possible risks associated with the training provided by Anderson and the use of Anderson's facilities.

2. Release and Indemnity.

I hereby release and hold harmless each of Anderson, Anderson's employees, agents or contractors from and against all actions, claims, liabilities, losses, damages, expenses and costs (including court costs and legal fees), with limitation for any property damage, personal injury, death or any other action, claim, liability, loss damage or expense based on my participation in Anderson training programs and/ or the use of Anderson's facilities except where caused by the gross or willful negligence of Anderson or Anderson's employees or staff acting within the scope of their duties.

This indemnification is binding on my heirs, assigns, agents and executors.

3. Agreement to Follow Safety Policy.

I accept full responsibility for my own safety and the safety of

others while participating in Anderson training programs and/ or Anderson Facilities. I agree to abide by the following safety policy:

• Put away all equipment after use;

• Children under the age of 16 will not touch weights, rings, pull up bars, climbing ropes, or gym equipment unless instructed to do so; and

• Loaded bars are to be dropped with control; do no throw the bumper (rubber) plates.

4. Disclosure of Physical Limitations.

I acknowledge that it is advisable to consult a physician prior to

participating in an exercise program. I agree to disclose any physical limitations, disabilities, ailments or impairments which may affect my ability to participate in any Anderson training programs. I further

agree to communicate any such limitations to Anderson or her staff at any time I feel I am being asked to exceed my physical limitations or the advice of my physician.

5 Photo Release.

I hereby grant to Anderson the right to reproduce, use, exhibit, display, broadcast and create derivative works of the photographed images of me taken at, or during any Anderson activity for use in connection with the activities of Anderson or for promoting, publicizing or explaining Anderson or her activities. These images my appear in a wide variety of formats and media now available to Anderson and may be available in the future, including but not limited to:

• print;

• broadcast;

• videotape;

• CD-Rom;

• Electronic/ online media.

By signing, you acknowledge that you have read, understood, and agree to all terms of this waiver and release form.