I, the undersigned, being fully aware of my own physical health and condition, and having clear knowledge that my participation in any exercise activity may be injurious to my health, am voluntarily participating in a physical exercise program created by Anne Schwalbe.
Having such knowledge, I hereby acknowledge and grant this release, and hold harmless Anne Schwalbe and representatives, agents, and successors from liability of accidental injury or illness that I may incur as a result of participating in the said physical exercise program. I hereby assume all risks in connection therewith and consent to participate in said program.
I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in the said physical exercise program.