LOUISIANA ATHLETIC CLUB WAIVER OF LIABILTY, RELEASE AND ASSUMPTION OF RISK FOR FITNESS CENTER PARTICIPATION Must 18 years old or older to complete this form. ACKNOWLEDGEMENT OF RISK. I understand and agree that there are risks of significant injury to me, whether caused by me or someone else, in my use of or presence on Louisiana Athletic Club`s premises. These risks of injury include, but are not limited to, slips, trips, falls, collisions, thefts, equipment failure, or other such accidents or incidents that may result in injury, harm or damage including, but not limited to, economic, property, emotional, mental, physical or any other type of damage including, but not limited to, sprains, torn muscles or ligaments, broken bones, stroke, heart stress, heart attack, paralysis, disfigurement, death, or other forms of pain or suffering. I voluntarily accept and specifically assume these risks to me. WAIVER OF LIABILITY AND INDEMNIFICATION. On my own behalf, and on behalf of my spouse, children, heirs, executors, administrators and representatives to the fullest extent allowed by applicable law, I agree to release and discharge from all liability, and waive all claims, demands and actions against, Louisiana Athletic Club, its affiliates, subsidiaries, officers, directors, employees, independent contractors, representatives, volunteers, and successors or assigns (collectively referred to as `Louisiana Athletic Club`) for any and all injuries, harms or damages sustained by me in connection with their use of or presence on the premises, or their use of facilities, equipment, services, programs or activities within or outside its centers, resulting or arising from the negligent acts or omissions of Louisiana Athletic Club, or the negligent acts or omissions of me, other members, guests, visitors or other persons on the premises. I agree to defend, indemnify and hold Louisiana Athletic Club harmless against any and all claims brought by anyone against Louisiana Athletic Club related to such injuries, harms or damages. MEDIA. I consent to any photographs, video, or other media coverage of me while participating in activities at Louisiana Athletic Club. I HAVE READ AND UNDERSTOOD THIS WAIVER OF LIABILTY, RELEASE AND ASSUMPTION OF RISK AND I UNDERSTAND THAT BY SIGNING IT I AM WAIVING VALUABLE LEGAL RIGHTS. I VOLUNTARILY ACCEPT AND AGREE TO ITS TERMS.