I understand that the Mid-County Senior Center fitness activities are designed to permit members to participate within their health and physical capacity and limits.

I agree to be solely and fully responsible for any injury or physical condition that I may incur as a result of participating in activities at Mid-County Senior Center.

I hereby release Mid-County Senior Center, its agents, and its employees, from any and all liability for any injury or physical condition arising out of my participation in the activities.

I further understand and agree that I hereby waive any right to recover any damages from Mid-County Senior Center, its agents, and its employees, as a result of my participation in the activities.

I realize that by signing this waiver and release form, I am giving up certain legal rights.

Activities include, but are not limited to: badminton, bocce, e-z-cise, fitness center, line dancing, pickleball, ping pong, shuffleboard, volleyball, walking in gym, yoga, etc.

Please note that our Fitness Room and Strength Training program require a physician’s permission form, as well as a separate Waiver and Release. These forms are included in the New Member Welcome Packet (available at the Center).

I, the undersigned, do hereby consent and agree that Mid-County Senior Center, its employees, or agents have the right to take photographs, videotape, digital recordings, or any other visual medium of me and to use these in any and all media, now or hereafter known, and exclusively for the purpose of furthering Mid-County Senior Center.

I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

I do hereby release to Mid-County Senior Center, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies.

I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.

I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.

I also understand that Mid-County Senior Center is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.