Name *

First Name

Last Name

Name of Children under 18 *

Add your child/children who are participating in the 5k or Fun Run.

First Name

Last Name

Assumption of Ricks *

Assumption of Risks: I understand that participation in gym and exercise activities inherently carries risks, including but not limited to physical injury, illness, and in rare cases, death. I acknowledge that these risks cannot be completely eliminated, even with careful supervision and attention. I assume full responsibility for any risks involved in my participation.

By clicking here, I acknowledge and accept the risks associated with participation in gym and exercise activities, as outlined in the Assumption of Risks section.

Health Assessment *

Health Assessment: I affirm that I have consulted a qualified medical professional and have undergone a thorough health assessment. I confirm that I am physically and mentally fit to participate in gym and exercise activities, and that there are no medical conditions, restrictions, or limitations that would endanger my health or safety.

By clicking here, I affirm that I have consulted a qualified medical professional, am physically and mentally fit to participate, and have no conditions that would endanger my health or safety.

Voluntary Participation *

Voluntary Participation: I acknowledge that my participation in the gym and exercise program is entirely voluntary. I am under no obligation to engage in any activity, and I understand that I may cease participation at any time for any reason without consequence.

By clicking here, I acknowledge that my participation in the gym and exercise program is entirely voluntary, and I may cease participation at any time without consequence.

Release and Waiver of Liability *

Release and Waiver of Liability: I hereby release, waive, and discharge Saint J Fitness, LLC, Emily St. Jacques, Mason Consulting Group, Inc., GCP Fox Mill LLC, and their respective owners, employees, agents, representatives, and affiliates from any and all liability, claims, demands, actions, or causes of action, present or future, that may arise from my participation in the gym and exercise program. This waiver includes claims of negligence, breach of contract, or any other legal theory.

By clicking here, I release, waive, and discharge Saint J Fitness, LLC, Emily St. Jacques, Mason Consulting Group, Inc., GCP Fox Mill LLC, and their affiliates from all liability, claims, and actions arising from my participation, including claims of negligence or breach of contract.

Indemnification *

Indemnification: I agree to indemnify, defend, and hold harmless Saint J Fitness, LLC, Emily St. Jacques, Mason Consulting Group, Inc., GCP Fox Mill LLC, and their owners, employees, agents, representatives, and affiliates from any and all liability, loss, damages, costs, or expenses (including legal fees) arising from my participation in the program, including claims brought by third parties as a result of my actions.

I agree.

Emergency Medical Authorization: *

Emergency Medical Authorization: In the event of an emergency, I authorize Saint J Fitness, LLC, Emily St. Jacques, or their representatives to seek emergency medical treatment for me. I release them from any liability related to such treatment and assume responsibility for any costs incurred.

I agree to the emergency medical authorization.

Photography and Likeness Consent: *

By participating in the Turkey Trot and Kids Fun Run, you consent to being included in photos, videos, or other media that may be used by Saint J Fitness, LLC and Emily St. Jacques for promotional or marketing purposes, without compensation and without needing further approval. If you do not wish to appear in social media or promotional content, please refrain from participating in these events.

I agree.

Cell Number *

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