I, (He/She who signs this form), wish to participate in the exercise and training program offered by
Kings Fitness. . I understand there are inherent risks in participating in a program of strenuous exercise;
consequently, I have been examined by a physician of my choice and have obtained his/her approval for my
participation in a fitness program within sixty (60) days of the date set forth. No change has occurred in my
physical condition since the date such approval was given which might affect my ability to participate in the
fitness program. If a physician has not examined me, I agree to see a physician within sixty (60) days of the
date set forth below to obtain his/her approval for my participation in a fitness program. If I choose not to
see a physician prior to beginning a fitness program, I do so strictly at my own risk. I also agree to provide
Kings Fitness with my physician’s contact information so that Kings Fitness may receive direct clearance and
program recommendations/limitations from my physician. I further agree that Kings Fitness shall not be
liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at
home, outdoors or in any fitness facility), and I expressly release and discharge Kings Fitness from all claims,
actions, judgments and the like which I or my heirs, executors, administrators or assigns may have or claim to
have as a result of any injury or other damage which may occur in connection with my participation in the
fitness program, excepting only and injury caused by an intentional act of such person or persons. This
Release shall be binding upon my heirs, executors, administrators, and assigns.

I understand that Kings Fitness will make every reasonable effort to preserve the privacy of the information
contained during this on-boarding process. I further agree that Kings Fitness shall not be liable or responsible to
me for any inadvertent disclosure of the information contained in the on-boarding forms and I expressly
release and discharge Kings Fitness from all claims, actions, judgment and the like which I or my heirs,
executors, administrators or assigns may have or claim to have as a result of any damage which may occur in
connection with disclosure of private information contained in the on-boarding forms. This release shall be
binding upon my heirs, executors, administrators and assigns.

I certify that the answers to the questions outlined in my on-boarding forms are true and complete to the best of
my knowledge. I acknowledge that medical clearance is requested if I have answered “Yes” to any of the
questions on the on-boarding forms. I understand and agree that it is my responsibility to inform Kings Fitness
of any condition or changes in my health, now and on going, which might affect my ability to exercise
safely and with minimal risk of injury.

I understand that I am not obligated to perform nor participate in any activity that I do not wish to do, and
that it is my right to refuse such participations at any time during my training sessions. I understand that
should I feel lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the
activity and inform my Kings Fitness trainer.

I understand that the results of any fitness program cannot be guaranteed and my progress depends on my
effort and cooperation in and outside of the sessions.

I hereby agree and consent as follows.

I consent and authorize Kings Fitness, located at 23 Cindy Ln, Ocean, NJ 07712 to use my likeness in any photograph, video or other digital media(“photos”) in any and all of it’s publications, including print or web-based publications

I irrevocably authorize Kings Fitness to copy, edit, enhance, crop, or otherwise alter any Photo for use in their publications. I also waive any rights for approval or inspection of any Photos.

I understand and agree that all Photos are the property of Kings Fitness, and will not be returned to me

I acknowledge that I am not entitled to any compensation or royalties with respect to the use of the Photos.

I agree to release and forever discharge Kings Fitness and its affiliates, successors and assigns, officers, employees, representatives, partners, agents and anyone claiming through them, in their individual and/or corporate capacities from any and all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, causes of action of any nature or kind, known or unknown, which I, and anyone claiming on behalf of me, may have or claim to have against Releasee in connection with this Release.

I have carefully read and fully understand all the provisions of this Photo Release Form and am freely knowingly and voluntarily signing.