Note: This information is confidential and used only for safety and preparedness.

Assumption of Risk and Acknowledgement of Personal Responsibility

I understand that participation in adaptive physical exercise involves physical movement, exertion, and interaction with equipment or others. I understand that such activities may involve inherent risks, including but not limited to:

• Muscle strain, sprains, or fails
• Exacerbation of existing conditions
• Equipment malfunctions or misuse
• Accidental injury from other participants

I confirm that:

• I (or the participant) have consulted with a medical professional and have been cleared to participate in physical activity appropriate to my ability.
• I will notify the instructor of any changes in my condition that could affect participation.
• I understand that participation is voluntary and can be stopped at any time.

Release of Liability

In consideration of being allowed to participate in this adaptive exercise class, I hereby waive, release, and discharge Building Bridges Through Communication, BBTC’s Certified Therapists/Employees, volunteers, contractors, and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, or injury (including death) that may be sustained by me or the participant during or as a result of participation.

This release includes, but is not limited to, liability arising from negligence, accidents, or acts of third parties.

Media Release (Optional)

Do you grant permission to Building Bridges Through Communication for using the photographs or video recordings taken of you during class for promotional and/or educational purposes?

Consent

I have read this waiver and release of liability form, fully understand its terms, and sign it freely and voluntarily.