I am participating in a program of physical activity, including, but not limited to, all of any of the following services and related activities offered by Pulse Performance Training, LLC: fitness classes, personal training sessions and nutritional programs, (together, the “Services”). I hereby assume all responsibility for my participation in the Services and acknowledge that: (a) I have had a physical examination and have been given my physician’s permission to participate in the Services (or that I have decided to participate without the approval of my physician), (b) participating in the Services will involve strenuous activity, risk of injury and of death, whether caused by myself or someone else, and (c) I am voluntarily participating in the Services with the knowledge of the dangers involved, including, but not limited to, the potential for a heart attack, muscle strains, pulls or tears, broken bones, shin splints, heat exhaustion, knee injuries, lower back injuries and soreness however caused, and any physical or property damage or loss, occurring during or after my use of the Services.



1. To be liable for the cost of repair or replacement if I cause any damage to the Pulse Performance Training facilities (the “Facilities”).

2. To waive any claims that I have or may have in the future against Pulse Performance Training and its presidents, officers, directors, shareholders, employees, volunteers, affiliates, successors, estates, heirs, agents and independent contractors (together, the “Releasees”).

3. To irrevocably release the Releasees from any claims of all kind (except as prevented by statute) for any Injuries, loss, damage, cost, or relief of any kind, resulting from or arising out of or connected with the Services, including without restriction, claims arising from excessive exertion, from the condition of equipment or premises or facilities, from the conduct of other members or third parties, and from negligence, including gross negligence, trespass, breach of contract, vicarious liability for any other person’s act or omission, or breach of any statutory or other duty of care, including any duty of care owed under the Premises Liability Act (740 ILCS 130/), on the part of the Releasees.

4. To defend, hold harmless and indemnify the Releasees from any and all liability for any damage to property of, or personal injury to, any third party resulting from my participation in the Services including any minors that I bring to the facility (each, a “Minor”).  Without limitation to the foregoing, I agree to supervise such Minors and to be wholly responsible for their conduct at all times while in the Facilities, and that Pulse Training Systems shall in no way have any obligation to supervise any Minors.

5. This waiver and release shall (a) be governed by Illinois law, and (b) be effective and binding upon my spouse, heirs, next of kin, relatives, executors, administrators, assigns and representatives in the event of my death or incapacity.

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I have read this form in its entirety and fully understand and agree that by signing this form I am waiving all legal rights and remedies that are available to me in connection with my use of the services including the right to sue. *