INTAKE FORM


Liability Waiver

Photography/Video Release

Participants involved in any activities offered by TMC Strategies, LLC (dba Jess Fleming) may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the Jess Fleming website or in any editorial, promotional, or advertising material produced and/or published by Jess Fleming.      

Waiver and Release of Liability

Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risk include, but are not limited to: Falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury of death due to improper use or failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death due to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at, or under the direction of Jess Fleming.

I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.

 

Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered by Jess Fleming, I, the undersigned hereby release Jess Fleming, their principals, agents, employees, contractors, and volunteers from any and all liability, claims, demands, actions, or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties.The agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.

 

Indemnification: The participant recognizes that there is risk involved in the types of activities offered by Jess Fleming. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless Jess Fleming, their principals, agents, employees, contractors, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Jess Fleming on-site or abroad. This includes, but is not limited to, parks, recreational areas, playgrounds, and/or any area selected for training by Jess Fleming.


I have read and understand. the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this for I am waiving valuable legal rights.

Your signature will be requested via email.