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.
TALENT RELEASE FORM
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: ____________________________________________________
City, State, Zip Code: ____________________________________________
Phone: _________________________ Email: _________________________
WAIVER OF LIABILITY NOTICE
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
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:____________