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Timberstrength Health & Wellness Waiver Form

Date: 04/02/2025 

Member Name:

1. AGREEMENT TO TERMS

By signing this waiver, |,  (the "Member" or "Parent/Legal Guardian"), acknowledge and
agree to the following terms regarding my membership at Timberstrength Health & Wellness, located at 1049 Payne Avenue, North Tonawanda, New York 14120 (the "Gym").

2. ACTIVITY DETAILS

The Member will participate in one or more of the following activities provided by Timberstrength Health & Wellness (the "Activity Provider"):

• 24/7 gym and fitness center access
• Scheduled fitness classes
• Specialized fitness services

Non-Adult Age Requirements:

• Members under 16 require this waiver to be signed by a parent or legal guardian must always be accompanied by a parent or adult member responsible for them.
• Members aged 17-18 require this waiver to be signed by a parent or legal guardian.

3. RELEASE OF LIABILITY

In consideration of being permitted to participate in gym activities, |, on behalf of myself and my heirs, executors, administrators, and assigns, release and discharge Timberstrength Health & Wellness, its owners, directors, employees, agents, and successors from any claims, damages, or liabilities arising from personal injury, property damage, or death resulting from my participation, even if caused in whole or part by the negligence of the Activity Provider.

4. ACKNOWLEDGMENT OF RISK
| understand that participating in fitness activities carries inherent risks. | acknowledge that | am signing this waiver voluntarily and would not be allowed to participate without signing it.

5. FITNESS TO PARTICIPATE

| confirm that | or the individual for whom | am signing, have no physical or medical conditions that would limit or prevent participation in gym activities. If needed, | will seek medical clearance before engaging in any activities.

6. LEGAL UNDERSTANDING

| acknowledge that:

• | have had sufficient time to read and understand this waiver.
• | have been encouraged to seek legal advice if necessary.
• | fully understand the risks involved.
• l am signing this waiver voluntarily and understand that | cannot hold Timberstrength Health & Wellness liable for any injuries or losses.

7. GOVERNING LAW
This waiver is governed by the laws of the State of New York.

8. EMERGENCY CONTACT

Name:

Phone:

SIGNATURE
By signing below, | acknowledge that | have read, understood, and agreed to this waiver.

Printed Name:

Date: 04/02/2025