Sample Employee Gym Waiver
SAMPLE EMPLOYEE GYM WAIVER
Date: October 29, 2051
Employee Name: Jewell Ward
Employee ID: 12345
Department: Marketing
1. Acknowledgment of Risks
I, the undersigned employee, acknowledge that my participation in physical activities in the company gym involves certain inherent risks, including but not limited to:
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Risk of injury from exercise equipment.
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Risk of falls or other accidents.
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Risk of overexertion or dehydration.
2. Voluntary Participation
I understand that my participation in gym activities is entirely voluntary and that I may choose not to participate in any exercise or activity at any time.
3. Release of Liability
In consideration for being granted access to the gym facilities, I hereby agree to release and hold harmless [YOUR COMPANY NAME], its owners, employees, agents, and affiliates from any and all claims, liabilities, damages, and costs that may arise from my use of the gym, including but not limited to:
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Injuries resulting from my use of the gym facilities.
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Injuries resulting from my participation in any fitness programs or activities.
4. Fitness and Health Declaration
I confirm that I am physically fit and capable of participating in exercise and understand that I should consult a physician before starting any new fitness program or activity, especially if I have a history of medical conditions.
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I have consulted a physician (if applicable): Yes
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Known medical conditions: None
5. Rules and Regulations
I agree to abide by all gym rules and regulations, including but not limited to:
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No food or drinks (other than water) allowed in the gym.
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Equipment must be wiped down after use.
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Appropriate gym attire must be worn at all times.
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Respect for fellow gym users and their space.
6. Emergency Contact Information
In case of an emergency, please contact:
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Name: Barry Morar
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Phone Number: 222 555 7777
7. Agreement
By signing this waiver, I acknowledge that I have read, understood, and agree to the terms outlined above. I also affirm that I am signing this waiver voluntarily and that my signature indicates my acceptance of all terms and conditions.
Jewell Ward
October 29, 2051
[Your Company Name]
[Your Company Address]
[Your Company Email]
[Your Company Number]