Signup to Class

Waiver

As with most activity programs, a signed waiver is required for each program participant. Please read and check the box to agree to the following information.

Summary

You agree to join the program at your own risk and release Together Senior Health (TSH) and its affiliates from any and all liability regarding your participation.
You are responsible for informing us of any medical conditions or discomfort before the start of the program, class or session.
You consent to TSH recording sessions, which may include your name, image or likeness. You also agree that any such recordings may be used for research and training purposes by TSH and its affiliates. Your information will not be shared with anyone outside of TSH or its affiliates without your prior consent.
You (or your legal guardian, if applicable) have read and fully agree to the terms of the waiver as condition to your participation in the program.

If one is unable to represent themselves, their representative can complete the waiver on their behalf.

PROGRAM PARTICIPATION

Together Senior Health and its affiliates, related entities and/ or assigns ("Company") strongly recommend that you consult with your physician before beginning any movement program. THERE IS THE POSSIBILITY OF PHYSICAL INJURY WHEN PARTICIPATING IN ANY EXERCISE OR MOVEMENT PROGRAM. If you engage in this movement program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Company from any and all claims or causes of action, known or unknown, arising out of Company's negligence.

The limitations and exclusions of liability in this disclaimer apply to our instructors as well as the Company's directors, managers, employees, agents, and volunteers. The Company is not a licensed medical care provider and has no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition.

MEDICAL CONDITION OR INJURY

Please inform us, as soon as possible if you suffer from any existing or new injury or other medical condition, or you feel any pain or discomfort during a class.

SESSIONS MAY BE RECORDED FOR RESEARCH OR DEVELOPMENT PURPOSES

ONLY for the purpose of research, product development or internal training by the Company, I hereby give Together Senior Health and its affiliates, related entities and/ or assigns ("Company") a right and permission to record, photograph, copyright, and use my name, image, likeness, and/or voice (collectively Name/Image/Likeness, "NIL"). THE COMPANY WILL NOT PUBLICLY DISCLOSE MY NIL WITHOUT MY EXPRESS PERMISSION. (Required)*

UNDERSTANDING THE CONTENTS OF THIS RELEASE

I represent and warrant that I am over the age of majority in my state of residence, and that I have the full right, power, and authority to grant these rights and permissions. I certify that I fully understand the contents of this Release and that I intend to be legally bound by its terms. I am aware that this is a release of liability for future claims and a contract between the Company and me and agree to it of my own free will.

I have read and agree to the waiver

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