CHOOSE MEMBERSHIP TYPE

By purchasing a membership at KT3 Fitness, you agree to the following:

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1. I am voluntarily participating in exercise at KT3 LLC, 912 4th St., Fulton, IL 61252 or 303 N Main St, Port Byron, IL 61275.

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2. I recognize that exercise requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.

3. I understand that it is my responsibility to consult with a physician prior to andresponsibilityregarding my participation. I represent and warrant that I have no medical condition that would prevent my responsibility.

4. I agree to assume full responsibility for any risks, injuries or damage know or unknown which I might incur as a result of participating in the program. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.

5. I knowingly, voluntarily and expressly waive any claim I may have against Kyle Huebner, KT3 LLC, or any individual conducting any programs or classes at KT3 LLC, for injury or damages that I may sustain as a result of participating in the program.

6. I, my heirs or representatives forever release waive, discharge and covenant not to sue the Kyle Huebner, KT3 LLC, or or any individual who is conducting any programs or classes at KT3 LLC for any injury or death caused by their reasonable acts.

I have read the above waiver and release of liability and fully understand it contents. I voluntarily agree to the terms and conditions stated above.