PERMISSION, RELEASE AND ELIGIBILITY FORM
In consideration of being allowed to enter into the gym and/or participate in any activities, events, parties, or programs at GDL Holdings, Inc., the undersigned, on his or her own behalf and on the behalf of the minor identified below, acknowledges and agrees to the following:

1. I willingly agree to comply with the both the posted rules and any and all verbal instructions provided, for participation in any and all activities, events, parties and programs. I acknowledge that I have read and understand the posted rules and that I have communicated them to my minor child. In addition, if I observe any hazard during my or my child’s participation, I will immediately bring it to the attention of the building representative.

2. There is a risk of injury from this equipment, and while particular rules, equipment and personal discipline may reduce the risk, the risk still exists and is accepted and assumed by me.

3. I knowingly and freely assume all such risks, both known and unknown, and however arising, even if arising from negligence of other participants and employees. I also assume full responsibility for all participants listed below. I agree to assume liability for all medical costs, attorney fees and any and all other expenses and damages resulting from injury to myself and/or the participants listed below.

4. I, for myself and on behalf of my spouse (if any), children, heirs, administrators, executors, assigns, personal representatives, insurers, next of kin, and any person or entity claiming by or through them, hereby release and hold harmless GDL Holdings, Inc., Consolidated Neuro Supply, Inc. and its affiliates, officers, members, managers, lessors, agents and employees and all other participants with respect to any and all expense, medical bills, causes of action, claims, injury, disability, loss and damage to person or property to the fullest extent permitted by law.