I, ______________________________, desire to enroll in a program of physical fitness, including, but not limited to, aerobic
dance, weight training, stationary bicycling, and the use of various aerobic conditioning equipment offered by Walter E.
Morrison, Jr. I hereby affirm that my physician has approved my participation in all activities subject to the limitations indicated
by my physician. If my physician has set forth any limitations, my physician's statement of limitations is provided to Walter E.
Morrison, Jr. and is attached to this Waiver of Liability.
In consideration of my participation in Walter E. Morrison, Jr. exercise programs, I, _______________________________,
for myself, my heirs, and assigns, hereby release Walter E. Morrison, Jr. from any claims, demands, liability, and causes of
action arising from my participation in the exercise programs, including any injuries there from, providing the exercise programs
do not conflict with the limitations stated by by my physician, if any.