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MEMBER'S HEALTH WARRANTY. Member warrants and represents that he/she has no disability, impairment or ailment preventing him/her from engaging in active or passive exercise or that shall be detrimental to his/her health, safety or physical condition if he/she does so engage or participate. This representation is made by Member knowing that management shall rely upon this warranty and representation in respect to the issuance of this Membership.

WAIVER OF LIABILITY. The undersigned, Member(s) accepts full responsibility for use of the facilities and equipment or services, and acknowledges and agree that they do so at his/her own risk. Management shall not be liable for any damages arising from personal injuries or damages sustained by Member or guest in, on or about the premises of the Club. Member agrees to hold the Club, its owners, partners, employees, and agents harmless for injury or loss that may occur as a result of his/her participation in activities at the Club. In consideration of my participation in and the use of the Club's facilities, Member does hereby and forever release and discharge the Club, its owners, partners employees, and agents from any and all claims, demands, damages, rights or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of the Member's and Member's guest use, or intended use of the Club's facilities and equipment thereof.

Please print, sign and mail  form and check to:

PO Box 581
Merrifield, VA 22116