11.08 - Fitness Room Policy Amendment

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... � CI TY OF PEQUOT LAKES VOLUNTARY WAIVER OF LIABILITYAGREEMENT FOR USE OF THE FI TNESS ROOM , am an employee of the City of Pequot Lakes. The City has a fitness room that has been designated for use by City employees. I understand that my use of the City's fitness room and equipment naturally involves the inherent risk of injury, whether it is caused by me or someone else. Therefore, I understand and voluntarily assume all risk of injury to myself �vhile using the fitness room and equipment and agree that the City will not be liable for any injuries, including, but not limited to, personal, bodily or mental injury or any economic loss or damage that is incurred by me resulting from my intentional acts or negligence or by anyone else using the room. I waive any right to make claims or bring lawsuits against the City or anyone �vorking on behalf of the City for any injuries or damages related to the alleged negligence of the City. This Agreement does not apply to any injuries or damages that are the result of any willfi�l, �vanton or intentional misconduct by the City or anyone acting on behalf of the City. I understand that the City encourages its employees to have a complete physical examination by a medical doctor prior to beginning any fitness program or strenuous physical activity. 1 understand that although the City encourages it employees to exercise, we are not required to do so, nor are we required to use the fitness room. I understand that I am exercising voluntarily and I am aware that any injury or related claims arising from exercising are not covered by the City's workers' compensation insurance. Therefore, I will not be able to file a workers' compensation � claim arising from any injury I experience while working out in the fitness room. I agree to comply with the Fitness Room Policy and the Fitness Room Conduct and Procedures and any amendments to them as the City determines are necessary. I agree to defend, indemnify and hold harmless the City for any expense or liability the City may incur as a reslilt of my conduct, actions or omissions while using the fitness room. 1 understand that entering into and signing this Agreement affects my legal rights and results in ►ny giving up or waiving certain legal rights and I accept this and sign this agreement of my o�vn free will. The terms of this agreement shall bind the members of my family, if I am alive, and my heirs, assigns and personal representatives if I am deceased. My signature indicates that I have read this entire document, understand it completely, acknow(edge that it cannot be modified or changed in any way by oral representations and agree to be bound by its terms. Signature �" Printed Name 5 Date