Alignment Essentials LLC Liability Form

In consideration of being allowed to use and participate in the activities and programs of Alignment Essentials, in addition to the payment of any fee or charge, I do hereby waive, release and forever discharge Alignment Essentials, LLC and its officers, agents, employees, contractors, representatives, executors, and all others from any and all responsibilities or liability for injuries or damages resulting from my participation in any programs, activities, or my use of equipment or machinery in the above-mentioned facilities or arising out of my participation in any activities of the Company. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any programs and activities of the Company consistent with applicable state and Federal law.

I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in any of the activities and programs of Alignment Essentials LLC, which consist of active, higher energy, physically demanding fitness programs.

I grant permission to Alignment Essentials LLC and its partners (“Companies”), to use my full legal name, testimonial, and/or photographs, collectively known as Testimonial, for use in and all promotional materials including but not limited to publications such as brochures, newsletters, magazines, display boards, press releases, electronic versions of the same publications and/or other electronic or print forms of media and/or websites. Companies shall own all rights to the Testimonial and has the right to use, reproduce, re-use, alter, modify, edit or change the Testimonial for any purpose as Company sees fit as long as the intent of the original Testimonial is kept intact.

I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph.

I hereby agree to release, defend, and hold harmless Companies, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.


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