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:

  • Risk of injury from exercise equipment.

  • Risk of falls or other accidents.

  • 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:

  • Injuries resulting from my use of the gym facilities.

  • 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.

  • I have consulted a physician (if applicable): Yes

  • Known medical conditions: None

5. Rules and Regulations

I agree to abide by all gym rules and regulations, including but not limited to:

  • No food or drinks (other than water) allowed in the gym.

  • Equipment must be wiped down after use.

  • Appropriate gym attire must be worn at all times.

  • Respect for fellow gym users and their space.

6. Emergency Contact Information

In case of an emergency, please contact:

  • Name: Barry Morar

  • 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]

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