The undersigned is aware that there are certain risks involved in participating in the City of Worcester programs/activities including but not limited to the risk of theft or damage to my property and the risk of personal injury from participation in recreational fitness programs or activities (“Fitness Programs”). I also agree to forever release the City of Worcester, Massachusetts, and all of its employees, agents, committee members, volunteers and any and all individuals and organizations assisting or participating in any Fitness Programs of the City of Worcester (“Releasees”) from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to myself or property damage resulting from participation in the City of Worcester Fitness Programs. I also promise, to indemnify, defend, and hold harmless the Releasees against any and all legal claims and proceedings of description that may have been asserted in the past, or may be asserted in the future, directly or resulting from participating in the City of Worcester activities or Fitness Programs.

I further affirm that I have read this Consent and Release Form and that I understand the contents of this Form. I understand that my participation is voluntary and that I am free to choose not to participate in said Fitness Programs. By signing this Form, I affirm that I have decided to participate in the City of Worcester’s Fitness Programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage that I may suffer in either voluntary activities or Fitness Programs. I authorize the staff to seek emergency medical care on my behalf or child if needed. I will assume all costs. I have read the program policies and understand them and the code of conduct. I understand the refund policy. I understand that I or my child may be photographed by the local paper newspapers.