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Emergency Contact Information

Studio Liability Release

Personal Injury and Property Liability Waiver:

You agree that if you engage in any physical exercise or activity, use any facility, or are present on the premises, you do so at your own risk and assume the risk of any and all injury and/or damage you might sustain, regardless of whether such injury or damage arises out of or during physical exercise. Your assumption of risk includes but is not limited to your use of any exercise equipment (mechanical or otherwise), the locker room, sidewalk, parking lot, stairs, lobby area, or any other part or item in or around Momentum Cycling & Fitness. You agree to assume the risk of your participation in any activity, class, program, instruction, or sponsored event. You agree that you are voluntarily participating in the aforementioned activities and assume all risk, known and unknown, associated with using the facility, equipment and premises including, without limitation, any loss or theft of any personal property. You agree on behalf of yourself (and your spouse, all your, children, personal representatives, heirs, executors, administrators, agents, and assigns) to forever release and discharge Momentum Cycling & Fitness and our owners, employees, agents, representatives, affiliates, successors, and assigns from any and all claims or causes of action (known or unknown) arising out of the negligence of , whether active or passive, or that of any of its affiliates, employees, agents, representatives, successors, and assigns. This waiver and release of liability includes, without limitation, injuries which may occur as a result of (a) your use of any exercise equipment or facilities which may malfunction or break, (b) improper maintenance of any exercise equipment or facilities, (c) negligent instruction or supervision, including personal training, and (d) you slipping and falling while in the facility or any portion of the premises for any reason, including negligent inspection or maintenance of its facility. By executing this Agreement, you hereby agree to indemnify and hold harmless Momentum Cycling & Fitness from any loss, liability, damage, or cost may incur due to your presence at Momentum Cycling & Fitness. You further expressly agree that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the state in which this agreement is entered into, and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release is not intended as an attempted release of claims of gross negligence or intentional acts. You acknowledge that Momentum Cycling & Studio is not designed to and does offer a service to its members encompassing the entire fitness spectrum.

Childcare Policy:

• Parents / Guardians must remain on premises
• Maximum time allowed per day – 2 hours
• For the well-being of the other children, please refrain from bringing a sick child into the childcare area.
• Please label all of your child’s belongings with his/her name.
• The Childcare Room will provide age appropriate toys. For safety and hygienic reasons we ask that children refrain from bringing their own toys to childcare.
• Children will remove shoes while in the childcare room. Please feel free to bring a pair of socks for comfort.
• Disruptive or inappropriate behavior will not be tolerated. In these circumstances, parents will be notified immediately.
• If a child is inconsolable for more than 10 minutes, parents will be notified and asked to return to the childcare area to assist staff.
• Children will be released ONLY to the person who dropped them off.
• Medications will not be administered by childcare staff..
• Please bring your child freshly diapered as diapers will not be changed.
• Due to allergies do not bring food for your children.
• Children will not be fed or given a bottle.

Child Care Liability Waiver:

I, the undersigned, hereby hold harmless, waive and release Momentum Cycling & Fitness, their childcare workers, officers, representatives, agents, organizers, and successors from liability as a result of personal injury or property damage occurring while the above child/children is/are in their care at Momentum Cycling & Fitness facilities. I agree I will assume the risk and full responsibility for any and all injuries, losses, or damages, that might occur to my child or other family members while on the premises of the facility, or in the parking lot of this facility; and to the maximum extent of the law, I agree to waive and release any and all claims, suits or related causes of action against Momentum Cycling & Fitness, their owners, officers, employees or agents for injury, loss, death, costs or other damages to me, my heirs or assigns, or third parties for claims, suits, or related causes of action asserted against the child care arising from my conduct and/or my family’s conduct while participating in the childcare service programs or activities. I further agree to release, indemnify, defend and hold Momentum Cycling & Fitness harmless from any liability whatsoever for future claims presented by my child for any injuries, losses or damages. I understand that childcare services are provided only while I am present in the building and taking class. I understand that if my child should become inconsolable during the class session, I am responsible to leave class and attend my child. I agree that this Liability Waiver shall apply to each day I or my child is at Momentum Cycling & Fitness regardless of the date that this form is signed below. I also confirm that I have read, understood and agree to abide by the Policies and Procedures written above. I also understand that these Policies and Procedures can change at any time and that I will be notified in e-mail of any changes. I agree to maintain an accurate e-mail address in my and my child’s account.