I, the undersigned, being aware of my own health and physical condition, and having

knowledge that my participation in any exercise program may be injurious to my health.

I am voluntarily participating in a physical activity with simplyfitbydorin.

Having such knowledge, I hereby acknowledge this release of simplyfitbydorin, any of its

representatives, agents, and successors from liability for an accidental injury or illness which

I may incur as a result of participating in the said physical activity. I hereby assume all

risks connected therewith and consent to participate in said program.

I agree to disclose any physical limitations, disabilities, ailments, or impairments which may

affect my ability to participate in said fitness program.

This release has been carefully read and fully understood by the undersigned.
The terms have been explained to me and I am freely, knowingly and voluntarily entering into this release.