I hereby certify that I am in good health and fully able to participate in all activities of this program. I have no known restrictions, or any other facts, that may limit me from participation.

I do hereby acknowledge and understand that my participation is purely and entirely voluntary, and that there are certain substantial and inherent risks involved in the fitness class I am taking. I further acknowledge that The Arlington Common and instructor shall not in any way be responsible or liable for any injuries, ailments, infirmities, and/or disabilities, which I may encounter or sustain as the result of such participation. I understand that the class will require exercise, and so requires me to be in appropriate physical condition. I understand the nature of potential risks from injury, and I agree to accept those risks. The instructor has permission to seek medical attention for me, and I grant permission for the physician and staff at Battenkill Valley Health Center or Southwestern Vermont Medical Center or other designated physicians to provide medical treatment in the event of injury or sickness. I will be financially responsible for any medical attention needed during class or resulting from an injury received at The Arlington Common. 

My medical insurance shall be the insurance coverage for any medical treatment. I do hereby agree to the above waiver and release.