Fearrington Swim & Croquet Club, Inc. 
RELEASE AND INDEMNITY AGREEMENT 

I, ______________________________, in consideration of being permitted to participate in 
the exercise activities and programs, either inside or outside of the pool, sponsored by 
the Fearrington Swim & Croquet Club, Inc. (hereinafter known as "The Club" and, where 
referenced, "The Club" shall include its officers, directors, members, agents, employees, 
volunteers, instructors, and activity leaders) do hereby fully and unconditionally release 
and forever discharge "The Club" from any and all responsibility and liability for injuries 
and damages resulting or arising from my participation in such exercise activities and 
programs. 

I am aware that exercise activities are potentially hazardous and may involve a risk of 
injury or harm. I understand and am aware that "The Club' does not require the exercise 
instructors or activity leaders to be professionally trained, certified, or licensed in 
exercise, physical fitness, physical therapy, aqua aerobics, CPR, or First Aid. I am 
voluntarily participating in these activities with knowledge of the risks involved and the 
aforementioned status of the exercise instructors and activity leaders. I acknowledge 
that I have familiarized myself with the condition of the pool and the premises used in 
the exercise activities. I hereby agree to assume and hereby expressly accept any and 
all responsibility for risks of injury, harm, and damages resulting or arising from my 
participation in exercise activities and programs sponsored by "The Club" and the use of 
its facilities and equipment. 

I do hereby further declare myself to be in good health and to have no known medical 
or physical condition that might pose an unreasonable risk of harm either to myself or to 
other members of the exercise class. I do hereby acknowledge that I am required to 
submit a physician's written approval prior to my participation in any exercise activity 
sponsored the "The Club". By participating in the exercise activities, I am acknowledging 
that I have been given my physician's permission to participate. 

This Agreement shall be fully binding upon my executors, administrators, personal 
representatives, collectors, heirs, successors, and assigns, and shall inure to the benefit 
of "The Club" and all of its past, present, and future officers, directors, employees, 
agents, representatives, volunteers, instructors, activity leaders, and their successors. 

I further promise to indemnify “The Club” against any and all claims or suits of any 
nature or description that may in the future be brought by any person or entity on 
account of injuries or damages arising out of my participation in exercise activities and 
use of the facilities of “The Club” for the above described purposes. This indemnity 
provision shall include the costs of mediation and litigation, reasonable attorney fees, and the payment of any damages whether by settlement or judgment. 



______________________________ ________________ __________________________
Signature of Participant Date 
 

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