By checking the box below and/or submitting this application, I affirm that the facts
set forth in it are true and complete. As a participant in the
HPER for Fitness Program, I do hereby forever waive, release and discharge the
HPER faculty members and interns from any and all claims or liabilities for
injuries or damages to my person and/or property including those caused by the negligent
act or omission of any of those mentioned or others acting on their behalf,
arising out of or connected with my participation in any fitness activities,
training program, equipment, or aquatic center.
It is the policy of this organization to provide equal
opportunities without regard to race, color, religion, national origin, gender,
sexual preference, age, or disability.
Thank you for completing this application form and for
your interest in the HPER for Fitness Program.