Element Cross Training

Outdoor Bootcamp-Inspired Fitness

Please read and sign this agreement ("Agreement") carefully before taking part in any and all Element Cross Training
program:

Liability and Waiver Release Agreement (Individual)

I hereby accept all risks associated with my Element Cross Training program and release and forever discharge Rebel
Belle LLC, and d/b/a Element Cross Training and its respective heirs, directors, officers, agents, employees,
representatives, successors and assigns, administrators, executors, and all others (“RELEASEES”) from any and all
responsibilities or liability from injuries or damages resulting from or connected with my participation in any of the
Element Cross Training exercise programs whether arising from the negligence of the RELEASEES or otherwise.

1. I acknowledge and fully understand that I will be engaging in training activities that potentially involve the risk of
serious injury or possibly permanent disability and death, and severe social and economic losses which might result not
only from their own actions, inactions, or negligence, but the actions, inactions, or negligence of others, the condition of
the premises or any equipment. Further, that there may be other risks not known or not reasonably foreseeable at this
time. I understand that physical exercise can be strenuous and subject to risk of serious injury, you are urged to obtain a
physical examination from a doctor before participating in any exercise activity. I, (PRINT
NAME)________________________________, agree that if I engage in any physical exercise or activity, I do so
entirely at my own risk.

2. I further acknowledge and understand that Element Cross Training and its employees are not licensed dieticians and
that any nutritional information or guidelines provided by Element Cross Training carries no warranty of any kind,
express or implied, including but not limited to warranties regarding safety or suitability for a particular purpose. Any
recommendation for changes in diet including the use of food supplements and weight reduction products are entirely
my responsibility and I should consult a physician prior to undergoing any dietary or food supplement changes. I agree
that I am voluntarily participating in these activities and assume all risks of injury, illness or death.

3. I hereby assume full responsibility for all the foregoing risks, known and unknown, and accept responsibility for the
damages following any injury, permanent disability, or death. This waiver and release of liability includes, without
limitation, all injuries which may occur as a result of: (a) my participation in any activity or personal training session and
(b) instruction, training, supervision, or dietary recommendations by my Personal Trainer.

4. I shall indemnify and hold Releasees harmless from any and all claims (including reasonable defense costs and
attorneys’ fees) arising out of any bodily injury or death of any person, or damage to any property, to the extent caused
by my negligence or willful misconduct. If any portion of this release from liability shall be deemed by a Court of
competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect
and the offending provision or provisions severed here from.

5. I acknowledge and understand that insurance coverage maintained by Element Cross Training is excess coverage and
begins after the exhaustion by me of all other insurance coverage for which I may be eligible, including but not limited
to exhaustion of all insurance coverage provided by my personal trainer or his/her company and/or workout facility.

6. I hereby consent to allow my name, image, likeness and/or voice to appear in publications, official documentaries,
promotional materials, and advertisements, and any and all television, radio or film coverage of Element Cross Training
in any manner incidental to my participation in the exercise program, without compensation.

This waiver and release agreement specifically embraces each and every event, activity or purchase sanctioned by said
RELEASEES, and has the same effect as if executed after each and every sanctioned event, activity or purchase in
which I participate so that the parties herein intended to be released shall be fully and effectively released as to each and
every sanctioned event, activity or purchase.

Element Cross Training cannot guarantee that its products or workouts will be safe, effective or suitable for everyone.
For that reason, all such products and services, and the programs, techniques and materials embodied in such products
and services, are offered without warranties or guarantees of any kind, express or implied, and Element Cross Training
disclaims any liability, loss or damages that may result from their use.

By signing this waiver and release, I acknowledge that I understand its content and that this release cannot be modified
orally.

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Print Name

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Signature Date

Element Cross Training is owned and operated by Rebel Belle LLC.