Physical Activities Release and Waiver for Participation

I am participating in physical activities as part of the National Baptist Convention, USA, Incorporated, (Convention) Let's Move National Baptist program.

 

I recognize that any physical activity may be strenuous and may cause injury, and I am fully aware of the risks and hazards involved in such activities. I further acknowledge and understand that Nettye Johnson, members of the Convention’s H.O.P.E. Health Ministry or other auxiliaries, employees, and other Convention affiliated individuals may not be licensed dietitians or physicians and that any information or guidelines provided by the Convention, members of the Convention’s H.O.P.E. Health Ministry or other auxiliaries, employees, and other Convention affiliated individuals carries no warranty of any kind, expressed or implied.

 

I represent and warrant that I am physically fit, and I have no medical condition that would prevent my full participation in these exercises.

 

I understand that it is my responsibility to consult with a physician or equivalent medical professional regarding my participation in this program prior to beginning. If I have any existing medical condition, I have been cleared by my doctor to participate in this program. I agree to assume full responsibility for any risks, injuries, or damage, known or unknown, which I might incur as a result of participation in these activities or as a result of negligence.

 

Also, I knowingly, voluntarily, and expressly waive any claim I may have against the Convention, Nettye Johnson Faith and Fitness Services LLC, members of the Convention’s H.O.P.E. Health Ministry or other auxiliaries, employees, and other Convention affiliated individuals its agents or assigns for injury or damages that I may sustain as a result of participating in this program. Myself, my heirs, or legal representatives forever release from liability, waive, discharge and covenant not to sue the Convention, Nettye Johnson Faith and Fitness Services LLC, members of the Convention’s H.O.P.E. Health Ministry or other auxiliaries, employees, and other Convention affiliated individuals its agents or assigns for any injury or death caused by any negligent act or omission. I have read the above release form and waiver of liability and fully understand its contents.

 

I voluntarily agree to the terms and conditions stated above.