Liability Release Waiver

In consideration of being permitted to participate in any way in the activities of Blockologie of 90 State Street Ste 700 Office 40, Albany, NY 12207, and having voluntarily elected to participate, I, as Client and as parent or guardian of Client who is a minor, if applicable), covenant and agree:

  • I understand that there are foreseeable, unforeseeable and inherent dangers and risks.

  • I acknowledge that the activities can be physically and mentally intense.

  • I know and understand that the risk of injury from the activities can be significant, including the potential for partial or total disability, paralysis and death, and that the risk of serious injury always exists.

  • I also acknowledge there is a risk that my personal property, including clothing, jewelry, equipment and the like, can be lost, damaged or destroyed.

  • I am aware that exercise can be physically stressful and, in certain instances, can even result in injury or cause death.

  • The levels of exercise that I will perform will be at my own pace, based upon my cardio-respiratory (heart & lung) fitness, muscular strength and endurance.

  • I hereby state that I will inform Blockologie of any symptoms (e.g. fatigue, shortness of breath, chest discomfort, any pain/discomfort/concern for my safety/benefit) during my participation in exercise.

  • If I have high blood pressure, diabetes, a heart condition, an existing injury, recent surgery or if I am taking any prescribed medications that could affect my performance, I will inform Blockologie prior to participating in any exercise.

  • I understand that I will be given instructions on how to perform an exercise and use equipment and I will ask the trainer any questions if I do not understand.

  • I understand that Blockologie, will not be liable for any injuries or damage arising out of participation and other by Blockologie suggested activities.

  • I declare myself physically and mentally sound and suffering from no condition, injury, impairment, disease, infirmity, or other illness that would prevent my participation in training sessions.

  • I recognise that it is my sole responsibility to obtain an examination by a doctor prior to involvement in an exercise programme.

  • I acknowledge that I have either had a physical examination and been given my doctor’s permission to participate or, if I have chosen not to obtain my doctor’s permission prior to beginning these activities, I acknowledge I am doing so at my own risk.

  • In acknowledging that I am aware of and willing to assume and accept the risks associated with these Activities,

  • I hereby voluntarily agree to waive any and all claims that I have or may have in the future against Blockologie and to release Blockologie from any and all liability for any loss, damage, expense or injury, including death that I may suffer or my next of kin may suffer as a result of my participation in these Activities, except where any such loss, damage or injury is the direct result of negligence on the part of Blockologie.

  • I acknowledge that I have read this document in its entirety and understand the above.

  • I have had the opportunity to ask questions and receive answers.

Electronic Signature

Under the federal E-SIGN Act and related state laws, with Your consent, we can deliver this Required Information to You electronically and can use electronic signatures in connection with our Services. This Electronic Document relates to Your use of Blockologie’s services. By electronically agreeing to this Agreement, you consent and agree to this agreement entirely and acknowledge that your solely recourse would be not to use the Services provided by Blockologie.

By executing this Agreement, you are agreeing: (a) to the electronic presentation of this agreement, (b) that this documents is a binding contract, and (c) that You will accept and execute this documents electronically.