10 Squared Membership Agreement & Booking "*" indicates required fields Your InformationName* First Last Email* Phone* Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Relationship* Membership Agreement & Medical Waiver & ReleaseMembership Agreement* I accept all of the terms and conditions set forth in the below membership agreementMEMBERSHIP AGREEMENT HEREWaiver, Agreement and Release of Liability* I certify that I have read and fully understand the below waiverThe individual named below (referred to as “I” or “me”) desires to use the facilities and participate in the training program and associated activities (the “Program”) provided by 10 Squared LLC (“10 Squared”). The Program includes participation remotely through a software application, and in person, at 2307 Thornton Rd, Austin TX 78704 (the “Facility”). As a condition of my participation in the Program, , I agree to all the terms and conditions set forth in this waiver, agreement and release of liability (“Waiver”). Program Risks Exercise Risk; Exercise Testing: I understand that participation in the Program, including the exercise, training and use of fitness equipment, are potentially hazardous activities and that exercise, by its very nature, carries with it certain inherent risks. I understand these activities involve risks of injury, of aggravation of pre-existing conditions, of disability, harm, and in the most severe and extreme situations, even death. I acknowledge that the impact of exercise on the body cannot be predicted with complete accuracy and that injuries may occur during or following Program and associated exercise that could lead to these complications and adversely affect my health. I acknowledge that the Program may involve performance of maximal exercise capacity testing at the Facility or elsewhere. An exercise test is traditionally performed on a treadmill, bicycle or other apparatus while connected to a system capable of analyzing ventilation and other parameters. I understand that during this process, my heart rate will be monitored. I acknowledge that maximal exercise testing will be offered as a component of the Program, either at the Facility, or conducted by a provider at an alternate location. I understand and acknowledge that exercise testing may cause some physical discomfort and that risks associated with such testing include, but are not limited to, fatigue, muscle soreness, shortness of breath, cramping, abnormal blood pressure, irregular heartbeat, stroke, chest pain and sudden cardiac events. The risks associated with an exercise test are analogous to those which may occur during strenuous athletic participation. Although extremely rare, there is a risk of serious injury or death. I understand that upon completion of exercise testing I may experience temporary muscle aches and joint pain. While I acknowledge that exercise testing, when performed at the Facility, may be performed by licensed and unlicensed individuals, I understand and acknowledge that the exercise testing is not, nor shall be considered, the diagnosis, care or treatment of any disease or condition. Performance of exercise testing by a licensed individual at the Facility does not create any practitioner-patient relationship. I acknowledge that neither 10 Squared nor its owners, employees or contractors provide or perform any medical services, treatment or care. Virus Risk: I understand the contagious nature of certain viruses and diseases, such as influenza and coronavirus disease (COVID), and the risk that I may be exposed to or contract such viruses/diseases by engaging in the Program in-person, which may result in serious illness, personal injury, disability, death, or property damage. Use of Equipment: I understand and acknowledge that 10 Squared does not manufacture any of the fitness or other equipment at the Facility but instead purchases and/or leases equipment from third-parties. As such, I understand and acknowledge that 10 Squared may not be held liable and will not seek to hold 10 Squared liable for defective products and/or equipment. Medical Fitness I have read and acknowledge having been informed of the following warning and notification: “If you are currently under a physician’s care for an injury, condition or illness, 10 Squared strongly urges you to consult your physician for appropriate medical clearance before conducting any exercises, using any equipment, or participating in the Program and associated exercise testing.” I further declare and represent that I am physically fit, sound and suffering from no condition, impairment, disability, disease, infirmity, or illness that should prevent my safe participation in the Program, conduct of exercise testing, including maximal exercise testing, and the general use of any exercise equipment. I represent that I am not experiencing symptoms of any virus or infectious disease. I represent that if I have any medical conditions or concerns, I have consulted with my physician and have obtained clearance to participate in the Program and undergo the maximal exercise testing. I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with my participation in Program. Assumption of Risk I acknowledge that the risks described in this Waiver may result from, or be compounded by, my actions, the actions, omissions, or negligence of 10 Squared employees or others, including negligent emergency response or rescue operations. I understand and personally and voluntarily accept and assume all risks of injury, harm, disability, disease, death, or property damage arising from or involved in my participation and engaging in the Program, undergoing exercise testing and the Program’s associated activities, whether caused by the negligence of 10 Squared or otherwise. In the event I am injured or harmed during participation in the Program or performance of any exercise testing, I hereby consent to receive any necessary medical treatment resulting from my participation in the Program and exercise testing and agree to bear all costs associated with such treatment, without financial recourse against 10 Squared. Waiver and Release of Liability I hereby expressly waive and release, now and forever, any and all claims and causes of action, whether known or unknown, against 10 Squared, and its members, managers, owners, officers, directors, employees, agents, contractors, volunteers, affiliates, successors, and assigns (collectively, “Releasees”), on account of injury, harm, disease, illness, disability, death, property damage, any medical condition of any kind which results, any aggravation of a pre-existing medical condition that I aggravate, arising out of or attributable to my participation in the Program (including exercise testing), and any and all other damages or injuries which I sustain in any way from the direct or indirect result of my participation in the Program (collectively “Injuries”), regardless of whether or not such Injuries are caused in whole or in part by the negligence of Releasees or otherwise; except that this Waiver does not extend to liabilities that applicable law does not permit to be released by agreement. I covenant not to make or bring any claim released by this paragraph against Releasees, and forever release and discharge Releasees from liability under such claims. I further hold 10 Squared harmless from any loss to personal property which is lost or stolen while I use, or am present at the Facility while, during, going to, or going from the Facility. IN NO EVENT SHALL 10 SQUARED OR ITS RELEASEES BE LIABLE FOR ANY DAMAGES WHATSEOVER, INCLUDING LOST PROFITS OR ANY SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THE PROGRAM, THE FACILITY OR THIS AGREEMENT (HOWEVER ARISING, INCLUDING NEGLIGENCE OR ANY OTHER CONDUCT). I understand that, through my participation in the Program, I may receive advice or advice related to exercise or fitness from individuals who may hold professional licenses, such as medical doctors, chiropractors and physical therapists (“Licensed Individuals”). I acknowledge and agree that any such advice or exercise plans provided through the Program are not intended to constitute medical advice, diagnosis, treatment or any other service that would require medical license. I further understand that any and all services provided to me under the Program are non-medical and are not part of any licensed medical practice. Any clinical services offered by licensed professionals and requiring a professional license will be separately undertaken by such professionals on a separate and individual basis. 10 Squared is not responsible for any clinical services provided by such licensed professionals. Miscellaneous This Waiver constitutes the sole and entire agreement of 10 Squared and me with respect to terms contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such terms. If any term or provision of this Waiver is held invalid, illegal, or unenforceable in any jurisdiction, then the remaining terms and provisions of this Waiver shall not be affected and shall be enforced to the greatest extent permitted by law. This Waiver is binding on and shall inure to the benefit of 10 Squared and me and each of our respective successors and assigns. All matters arising out of or relating to this Waiver shall be governed by and construed in accordance with the laws of the State of Texas, excluding any conflict-of-laws rule or principle that might refer the governance or the construction of this Waiver to the laws of another jurisdiction. Any claim or cause of action arising under this Waiver may be brought only in the federal and state courts located in Travis County, Texas and I hereby consent to the exclusive jurisdiction of such courts. Acknowledgement and Agreement I have carefully read and reviewed, and I understand, this Waiver, have had an opportunity to ask questions and have had all my questions answered to my satisfaction. I affirm that I have been given the opportunity to discuss any concerns and all of my questions have been answered to my satisfaction. I represent that I have the legal right and ability to execute this Waiver and to agree to the terms and conditions herein. I expressly understand that this Waiver discharges the Releasees from any liability or claim that I may have against the Releasees with respect to any Injuries that may result from my participation in the Program.Signature DepositProduct NameCredit Card