SFWC Talent Release Form 2018-19

SFWC Talent Release Form 2018-19

TOLEDO, OH (WTOL) - Form can be accessed here or the form below can be printed out and brought to Super Fitness North for pre-registration from Oct. 21-22 or the kickoff party Oct. 23 at 4:30 p.m.


I acknowledge that you are the sole owner of all rights in and to the recordings you

have obtained in the activity described above for all purposes including but not

restricted to commercials and/or editorial, and that you have the right to broadcast,

publish or otherwise distribute this material, or any portion thereof, one or more


I understand that we will receive no compensation for my appearance on and

participation in the recordings made during this activity. I represent that I have

reached the age of legal majority according to the State of Ohio.

Signature: _____________________________________ Date:___________

Print Name: ____________________________________________________

Address: ______________________________________________________

City, State, Zip Code: ____________________________________________

Phone: _________________________ Email: _________________________


HEALTH: Contestant warrants that he/she is in good health and that he/she had no

condition which could be aggravated or worsened by usage of facilities. Further,

contestant warrants that should he/she develop a health condition which could be

aggravated by usage of facilities, that he/she will immediately notify us in writing of

such conditions.

ACCIDENTS: All exercise and use of facilities shall be undertaken by contestant at

contestant's sole risk. The contestant represents that the contestant carries their own

accident and health insurance policy to cover any personal injuries to them personally

or which they may cause to others. The contestant agrees to cover their own

insurance claims and not to the fitness center, WTOL or FOX 36.

By signing this, I have read and understand the rules and regulations of the Super Fitness

Weight Loss Challenge attached.

Participant Signature: __________________________________Date:____________

Super Fitness Rep. Signature: __________________________ Date: ____________