All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license upon request. No one under the age of 14 permitted in Fitness Center. No one under the age of 18 permitted without the accompaniment of an adult. TERMS OF AGREEMENT: I understand that this agreement extends forever into the future and will have full force and legal effect each and every time I enter The Matrix Gym, Inc. The undersigned further expressly agrees that this agreement is intended to be as broad and inclusive as is permitted by the laws of this state and that is any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Upload a copy of the driver license

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

In consideration of my desire to engage in an exercise program at The Matrix Fitness Facility, I understand and agree to the following:1. My participation in this activity is entirely voluntary.

2. I understand the possibility exists that certain physical occurrences may happen during exercise. These changes may include muscular strains, sprains, and delayed onset muscle soreness, abnormal blood pressure, fainting, disturbances of heart rhythm, and very rare instance of heart attack, etc. I understand that The Matrix is not responsible or liable in the event any of the physical conditions are a result of my exercise program.

3. I understand that the use of chalk is NOT PERMITTED in the gym.

4. I understand that I will adhere to all posted signs and placards regarding equipment, locker rooms, behavior, and facility rules and regulations.

5. I understand that I can minimize the risk of adverse changes occurring during exercise by adhering to standard exercise guidelines for my age and weight.

6. I, the Undersigned, waive and release and agree to hold harmless and indemnify The Matrix Fitness Facility, its employees, agents, officers and directors, against any and all claims connected in any way with my participation in an exercise program. This agreement is binding on my heirs, executors, administrators and assigns.

7. I further acknowledge, understand, appreciate and agree that participation may result in possible exposure to an illness from infectious diseases, including but not limited to, SARS, MRSA, influenza, COVID-19 and other viruses and bacterial infections. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all responsibility of such risks, both known and unknown, even if arising from the negligence of the releasees or others and assume full responsibility for my participation which could result in exposure to pathogens.


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.