I, the undersigned, hereby request permission to use the facilities provided by Cameron Kriglstein located at Fit Culture, 1258 Royal Drive, Papillion, NE. I know the risks and dangers in using said facilities and all equipment currently on the premises or on the premises in the future and in participating in such activities, and that unanticipated and unexpected dangers may arise during the use of said facilities and equipment and during the participation in said activities, and I ASSUME ALL RISKS OF INJURY TO MY PERSON, INCLUDING DEATH, AND TO MY PROPERTY that may be sustained in connection with the stated and associated activities.

In consideration for being permitted to use the facilities and equipment at Fit Culture, I agree, in addition to paying for the services rendered, to release Cameron Kriglstein, dba CCKriglstein LLC, its instructors, operators, owners, servants, agents, officials, officers and sponsors from all claims from liability, demands, actions, and causes of actions of any sort made by myself, my heirs, administrators, executors, guardians, and/or assigns arising out of injury to my person or out of my death or injury to my property, whether caused by the negligence of Cameron Kriglstein, his instructors, operators, owners, servants, agents, officials, officers or sponsors while I am using its facilities or equipment or participating in other activities sponsored by Cameron Kriglstein or off its premises.