Please read the following carefully and be aware that, in signing up and partaking in any Rehab United Seattle appointment, class, program, off-site events, camps, or gym use hereafter referred to as “service”, you will be waiving and releasing all claims for injuries, arising out of this service, even the slight possibility of death, that you may sustain. The terms “I”, “me”, and “my” also refer to parents or guardians as well as the participant(s) in the service. By clicking on the button below, you agree to the following: 

 

As a participant in Kinetic Enrichment Program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, illness, damages or loss which I may sustain as a result of participating, in any manner, in any and all activities associated with such service. I further recognize and acknowledge that activities involving strenuous exertion or potential contact are hazardous recreational activities and involve substantial risks of injury. 

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I agree to waive and relinquish any and all claims against Rehab United Seattle that I may have as a result of participating in their services, any and all other participating or cooperating entities, any and all servants and employees of those entities, and any and all other persons and entities, of whatever nature, that might be directly or indirectly liable for injuries that I might sustain while participating in the service (The parties described in the preceding sentence are referred to as “released parties” in the remainder of the Agreement).

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I do hereby fully release and discharge Rehab United Seattle and the other released parties from any and all claims for injuries, including death, illness, damage, or loss which I may have, or which may accrue to me on account of my participation in the service. 

 

I further agree to indemnify, hold harmless and defend Rehab United Seattle and any and all other released parties, from any and all claims resulting from injuries, damages, and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of the service. I further understand and agree that the terms such as “participation”, “service”, and “activities”, referred to in this Agreement, including all exercises and physical movements of any nature while I am participating in the service, and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in the service. 

 

I acknowledge that I am required to contact the director of the program if my special attention is needed on a specific health matter. Ie: allergies to food, insects, or other potential individual risk factors. This information will be kept confidential but is required for health and safety purposes. Prior to each service, there will be an opportunity for me to discuss the program with the appropriate representative of Rehab United Seattle. It is solely my responsibility to keep the service provider informed of any medical treatment currently being taken and to provide written permission (when applicable) from the physician, chiropractor, physical therapist, etc., that the service may be continued in conjunction with said treatment. I further understand that I am required to keep the service provider informed of any changes in my health conditions. 

 

COVID-19 Acknowledgement and Understanding Agreement 

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities recommend practicing social distancing. 

 
I further acknowledge that Rehab United Seattle has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. 

 
I further acknowledge that Rehab United Seattle cannot guarantee that I/nor my child will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, coaching staff, and other clients and their families. 

 
I voluntarily seek services provided by Rehab United Seattle and acknowledge that I am increasing my risk of exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. 

 
I attest that: 

• I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. 

• I have not traveled internationally within the last 14 days. 

• I have not traveled to a highly impacted area within the United States of America in the last 14 days. 

• I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. 

• I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities. 

• I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. 

• If I have any symptoms, come into contact…..I will hold my child out of KEP and get tested.

 
I hereby release and agree to hold Rehab United Seattle harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the Kinetic Enrichment Program, or that may otherwise arise in any way in connection with any services received from Rehab United Seattle. I understand that this release discharges Rehab United Seattle from any liability or claim that I, my heirs, or any personal representatives may have against the program with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Rehab United Seattle. This liability waiver and release extends to the Kinetic Enrichment Program, Rehab United, and FIT Societe together with all owners, partners, and employees. 

 

By submitting the registration form, I acknowledge that I understand the nature of the service for which I am registering and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisements or warnings of the particular risks of this service that I subsequently receive will be incorporated by reference into and become a part of this Agreement.