Dyker Fitness
8112 15th Ave
Brooklyn, NY 11228
347-231-6344

Get Up, Get Out, Get Going...
Group & Personal Fitness Training

Liability Waiver
Liability Waiver/Media Release

All clients must complete the below form prior to engaging in physical activity.

 

* Liability Waiver:

I (insert name)  understand that physical activity can be strenuous and that NY Fitness Group and its trainers recommend consultation with a physician prior to engaging in such activity. I agree that by participating in activities organized, designed, facilitated and/or sponsored by NY Fitness Group, I do so voluntarily and at my own risk.  I further expressly agree to release and discharge NY Fitness Group, its trainers, instructors and staff from any and all claims or causes of action.

*Acknowledgement

 <- (Initials) I acknowledge that I have read the above waiver and release and fully  understand that it is a release of liability.

Media Release
 


<- (Optional) Media Release: I hereby grant NY Fitness Group the right to edit, use and reuse photos, videos and/or testimonials in print, on the internet, and through all other forms of media. I also hereby release NY Fitness Group (or its designee), their agents and employees from all claims, demands and liabilities whatsoever in connection with the above.

* Email:

 

I'd like to receive e-mails from NY Fitness Group about activities, events and promotions.