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In consideration of being allowed to participate in the activities and programs of Xcelerate Sports Development (XSD21) and in consideration of the voluntary nature of such participation and use, I hereby release, hold harmless, and forever discharge XSD21, its employees and agents, from any and all liability, claims, demands, actions, and causes of actions whatsoever arising out of or related to any loss, property damage, or personal injury, including death, that may be sustained by me or to any property belonging to me, while participating in such activity.

I, the undersigned, hereby give permission for the staff of the XSD21 to seek emergency medical attention to be given for me/my child to receive medical attention in the event of accident, injury or illness. I will be responsible for any and all costs of such medical attention and treatment.

I understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, are potentially hazardous activities. I also understand that fitness and recreational activities involve a risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved.

I hereby agree to expressly assume and accept any and all risks of injury or death.

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 or use of equipment or machinery except as hereinafter stated.

I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate in activity and use of equipment and machinery without the approval of my physician and do hereby assume all responsibility for my participation and activities, and utilization of equipment and machinery in my activities.

I am fully aware of the risks and hazards associated with participation in physical activity. I hereby elect voluntarily to participate in said activity and fully acknowledge that the activity may be hazardous to me and my property.

This release and hold harmless agreement is binding on me, my heirs, my assigns, and personal representatives

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