Movement Rx Blog

CITY OF SAN DIEGO
MUSCULOSKELETAL PROGRAM
WAIVER AND ACKNOWLEDGEMENT FORM

I understand that my participation in City of San Diego Employee Wellness Program activities is strictly voluntary and is not an expectancy nor requirement of my employment with the City of San Diego. My participation in these activities is on my own time and the activities are not work related. I understand that recreational and fitness activities may result in injuries to participants and that I should consult with a physician before I undertake any exercise program. I will not, nor will anyone acting on my behalf, hold the City of San Diego or Movement Rx Physical Therapy, P.C. responsible for any injury that might occur from my participation in a wellness activity.

I acknowledge I have read the labor code provision below and understand the City of San Diego is not liable for payment of Workers Compensation benefits for injuries arising out of my voluntary participation in off-duty wellness activities.

California Labor Code Section 3600
(a) Liability for the compensation provided by this division shall, without regard to negligence, exist against an employer in those cases where the following conditions of compensation occur:

(9) Where the injury does not arise out of voluntary participation in any off-duty recreational, social, or athletic activity not constituting part of the employee’s work-related duties, except where these activities are a reasonable expectancy of, or are expressly or impliedly required by, the employment.