Agreement of Release
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Waiver of Liability Form

I hereby agree to the following:

I am participating in, GYROTONIC®, GYROKINESIS®, Personal Training, Stretch and Flexibility through private training, duet training, or group classes offered by Shanice Rollins through Smile With Movement. During this, I will receive information and instruction about movement and health. I recognize that these activities require physical exertion and may be strenuous or cause physical injury, and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult a physician prior to, and I acknowledge that Shanice Rollins is not a physician and cannot diagnose illness or injury, nor give medical advice regarding my participation in GYROTONIC®, GYROKINESIS®, Personal Training, Stretch and Flexibility through private training, duet training or group classes offered by Shanice Rollins through Smile With Movement. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in these movement activities.

In consideration of being permitted to participate in GYROTONIC®, GYROKINESIS®, Personal Training, Stretch and Flexibility through private training, duet training, or group classes, I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in these movement activities.

In further consideration of being permitted to participate in GYROTONIC®, GYROKINESIS®, Personal Training, Stretch and Flexibility through private training, duet training, or group classes, I knowingly, voluntarily, and expressly waive any claim I may have against Shanice Rollins/Smile With Movement, for any injury or damages that I might sustain as a result of participating in these movement activities.

I understand that GYROTONIC®, and GYROKINESIS®, Personal Training, Stretch and Flexibility require hands-on contact and I accept my responsibility to inform my trainer if any touch is uncomfortable.

I acknowledge and understand that Shanice Rollins/Smile With Movement consists of training processes that are the intellectual property of Shanice Rollins/Smile With Movement. I agree that these training processes (and any instruction or materials provided orally, in writing, or through any other form of communication during a session, physically or virtually, will be kept confidential by me. I understand that I may NOT record, or instruct others in any training method belonging to Shanice Rollins/Smile With Movement.

I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Shanice Rollins/Smile With Movement for any injury or death that may occur during any session or class.

I expressly agree that the terms of release and waiver of liability contained herein are intended to be as broad and inclusive as is permitted by the laws of Ohio. Any provision of this release found to be invalid by the courts having jurisdiction shall be invalid only with respect to such provision or portion.