WAIVER

KYA FITNESS LLC

Informed Consent and Liability Waiver – In-Person and Online Participation

Participant Name: ______________________________________
Date of Birth: ________________

DISCLAIMER & WAIVER OF LIABILITY
By signing below, I acknowledge and agree to the following:

  1. Assumption of Risk
    I understand and acknowledge that participating in physical fitness programs, whether in-person or virtually, involves inherent risks, including but not limited to muscle strains, sprains, falls, injury, illness, and in rare cases, death. I voluntarily assume full responsibility for any risks or injuries that may occur from my participation in any activities, classes, or programs with KYA Fitness LLC, including those led by Deanna Towns (dba KYA Fitness), whether onsite at 150 Hartwell St. or 378 Prospect St., West Boylston, MA, or offsite, or online via virtual platforms.

  2. Release of Liability
    I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, waive, and discharge KYA Fitness LLC, its owners, agents, trainers, employees, and contractors from any and all liability, claims, demands, or causes of action arising from injury, loss, or damages to me or my property, including vehicles, due to ordinary negligence or any other cause, while participating in any KYA Fitness activity.

  3. Online Programming
    I understand that KYA Fitness LLC offers online and virtual programming and that it is my responsibility to ensure a safe environment and proper equipment use when participating remotely. I release KYA Fitness from any liability resulting from hazards or injuries sustained while exercising in an unsupervised or virtual setting.

  4. Property & Vehicle Disclaimer
    KYA Fitness LLC is not responsible for loss, theft, or damage to vehicles or personal property while on or around the premises or parking areas.

  5. Indemnification
    I agree to indemnify and hold harmless KYA Fitness LLC, its owners, trainers, employees, and contractors from any and all claims, actions, suits, or proceedings resulting from my participation in fitness activities, including all legal costs incurred by the released parties.

  6. Severability and Governing Law
    I agree that this waiver is intended to be as broad and inclusive as permitted under the laws of the Commonwealth of Massachusetts. If any part of this waiver is deemed unenforceable, the remainder shall remain in full force and effect.

  7. Medical Clearance
    I affirm that I am in good physical condition, do not suffer from any known conditions that would prevent or limit my participation in physical activity, and have consulted a physician if needed.

  8. Acknowledgment of Understanding
    I have read this waiver thoroughly, understand its contents, and voluntarily agree to its terms. I acknowledge that by signing, I am waiving certain legal rights and remedies.

Signature of Participant: _________________________________________
Date: ___________________

If under 18 years of age:

I, the undersigned parent or legal guardian of the above-named minor, hereby consent to their participation in KYA Fitness activities and agree to the terms outlined above. I assume all risks and responsibilities on their behalf and release KYA Fitness LLC from any and all liability as described.

Name of Parent/Guardian (Print): _______________________________
Signature of Parent/Guardian: __________________________________
Date: ___________________