HSW LLC Release and Waiver of Liability Form

* 3. (“Entity”) releases HEART STRONG WELLNESS LLC, and each of its successors, assigns, libraries, directors, officers, employees, agents and Subcontractors. Now therefore, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agree as follows:

Named  ("Entity")  desires to pay for services from HEART STRONG WELLNESS LLC and engage in activities related to such services. ENTITY understands that he/she/they is/are responsible for his/her/their own insurance coverage in the event of personal injury or illness as a result of services provided by HEART STRONG WELLNESS LLC.
 
1.    Waiver and Release: I, the Entity, for myself and my heirs, executors, administrators and assigns, hereby release, waive, discharge and hold harmless, HEART STRONG WELLNESS LLC and its successors, assigns, libraries, directors, officers, employees and agents from any and all liability, claim and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to HEART STRONG WELLNESS LLC.

 I understand and acknowledge that this Release discharges HEART STRONG WELLNESS LLC from any liability or claim that I may have against HEART STRONG WELLNESS LLC with respect to bodily injury, personal injury, illness, death, property damage, or any other claim that may result from the services provided to me by HEART STRONG WELLNESS LLC or occurring while HEART STRONG WELLNESS LLC is providing services for me.

 2.  Insurance: Further, I understand that HEART STRONG WELLNESS LLC does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, workers compensation, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of HEART STRONG WELLNESS LLC beyond what may be offered freely by HEART STRONG WELLNESS LLC  in the event of injury or medical expenses incurred by me or any others under my control or for my benefit.

 3.  Medical Treatment: I hereby release and forever discharge HEART STRONG WELLNESS LLC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during the tenure of any services provided by HEART STRONG WELLNESS LLC in conjunction with the employment agreement.
 
4.   Assumption of Risk: I understand that the services I contracted with HEART STRONG WELLNESS LLC for may include activities that may be hazardous. As a beneficiary of services provided by HEART STRONG WELLNESS LLC, I hereby expressly assume risk of injury or harm from these activities and release HEART STRONG WELLNESS LLC from all liability.

 5.  Other: I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Pennsylvania and that this Release shall be governed by and interpreted in accordance with the laws of the State of Pennsylvania. I agree that if any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.