IGNITE 2020 Indemnity Form

All participants are required to agree to the terms set out below, prior to engagement in the programme.

Please complete the following compulsory Indemnity form before starting with the Ignite Programme.

I hereby personally assume any, and all risks associated with participating in this online wellness programme. *
I hereby release, indemnify and hold Afrocentric, it’s respective directors, subsidiaries, affiliates, coaches, biokineticists and dietitians, harmless, in this wellness programme I have chosen to enrol in, , from any and all claims, demands, personal injuries, costs, or expense, (including attorney’s fees) arising from or relating in any way to me or my child, in my participation in this online wellness programme. *
I am participating in this Ignite programme at my own free will. *
I understand that this service doesn’t replace normal medical care. *
I understand that this service includes the sharing of certain personal information with coaches, fellow participants and website users, and I consent to this. *
I understand that the data collected during the programme will be used for reporting purpose, individual and group reporting, and I consent to this. *
I understand that this service includes 12 weeks of online exercise classes, workshops, webinars, online consultations and virtual online weigh-in sessions and I will attend all these sessions and comply with the schedule. *
I understand that this service does not promise or guarantee results, but I am fully guaranteed in making healthier choices. *
I understand that I will be enrolled into a WhatsApp group along with other programme participants, and I consent to this. *
I hereby personally assume any, and all risks associated with participating in this online wellness programme. *

In witness whereof, by pressing the Submit button below, I agree to this Waiver, Release and Indemnity Agreement.

The submit button is only visible once you have responded to all statements above.