INDEMNITY FORM.

Terms.

1. I understand that the purpose of Kirsten Hansen and Mustang Athletics and their affiliate staff is to provide fitness instruction and coaching for various levels of individuals.

2. I hereby affirm that, subject to the medical details supplied by me on the registration form that follows: I am in good health and I warrant the accuracy of all information supplied by me when registering. I believe that I am capable of participating in the fitness activities provided by Kirsten Hansen and Mustang Athletic and I undertake, if at any time they appear too difficult or strenuous for me or likely to impair my health in any way, to inform the fitness instructor immediately and not to continue any fitness activity which I feel endangers me or my health in any way.

3. I acknowledge that trainers of Kirsten Hansen and Mustang Athletic are not physicians and are not trained in any way to provide medical diagnosis, medical treatment, or any other type of medical advice. Furthermore I am aware that it is always advisable to consult a physician before embarking on any new health/fitness/nutrition programme. In the event of my suffering any medical or health difficulty whilst training, and particularly where I may lose consciousness or be unable to deal with matters myself, I hereby authorise Kirsten Hansen and Mustang Athletic to contact a physician and to take me to such physician and/or any appropriate medical clinic or other hospital and to use the services of an ambulance where appropriate and I undertake liability for all costs thereby incurred.

4. I acknowledge that the purpose of this programme is to elevate my physical state and fitness but that Kirsten Hansen and Mustang Athletic does not guarantee good or bad results will occur nor guarantees the training advice given by Kirsten Hansen and Mustang Athletic trainers will produce good or bad results.

5. I acknowledge that I am aware that if I feel tired, pain or out of the ordinary in any way, either related to my training or otherwise, that I will consult a physician at once.

6. I acknowledge that photography and videos may be taken from time to time and that participants will be told in advance whenever possible of the days in which this will happen. I hereby authorize Kirsten Hansen and Mustang Athletic to make use of my image(s) for marketing, publishing or any other lawful purpose.

7. I am aware of all inherent dangers in exercise participation. I acknowledge and understand I will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from my own action, inaction or negligence, but action, inaction or negligence of others, or the condition of the premises on or off site or of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at this time. I assume all these risks and expressly waive, release, discharge and agree not to sue Kirsten Hansen or Mustang Athletic for any loss, damage, death, disability, injury, or action of any kind for participating in this programme or any other activities organized by Kirsten Hansen or Mustang Athletic. I hereby indemnify and hold Kirsten Hansen & Mustang Athletic harmless against any claims by my dependents or other third parties whatsoever arising by reason of my death, disability or injury whilst participating in any training offered in their training programs.

8. I understand and accept that no refunds, whether in whole or in part, will be granted if I cannot complete the full four-week course. I have read, understand and accept the terms and conditions above.

9. A 4- week subscription starts from day of sign up. Payment is to be paid upfront.

10. I agree not to set up, be part of or be involved, directly or indirectly, in any fitness training programme with the name “X-FIT” or any name confusingly similar thereto and I further agree not to copy Kirsten Hansen training methods, systems and programmes, marketing or other business methods, style or get-up nor to divulge these details to any competitor or potential competitor of Kirsten Hansen or to allow any third party whatsoever to make use of same through information divulged by myself and for a period of 1 (ONE) year from date hereof I undertake not to solicit or entice or myself to directly or indirectly employ any Kirsten Hansen staff, instructors or other officials in any competing business nor to in any way solicit, entice or encourage any Kirsten Hansen clients to participate in any other fitness training programme for women carrying on business in competition to Kirsten Hansen anywhere within the Republic of South Africa.

11. I agree that this constitutes the entire agreement between me and Kirsten Hansen and Mustang Athletic and I acknowledge that I conclude this Agreement of my own free will without force or coercion and not having been induced to do so by reason of any representations on the part of Kirsten Hansen and any agreement to terminate this Agreement or to amend or vary it in any way, shall not be of any force or effect unless and until reduced to writing and signed by the relevant parties. By signing the form below, I certify that I am physically able to use all facilities and do hereby agree that this program is not responsible or liable to me for any injury, accident or loss of personal property. I do hereby release this program and its employees from any claim or cause of action which may have occurred as a result of any medical problem known or unknown which I may have knowledge presently or in future. I verify no promise or guarantees, other than those written in this agreement, was made to me by this program or its employees. I agree to follow Kirsten Hansen instructional guidelines and to cooperatively utilize the program with other participants. I understand that I am working at my own risk and understand the program has No Liability Insurance for any public places the classes are held.

12. Personal training sessions are booked and paid upfront, there is a 24 hour notice of cancellation otherwise a full cost will be incurred for that session booked.

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