Express Assumption of risk: I, the undersigned, am aware that there are significant risks involved in any physical training regimen. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. Injury may also result simply from the fact of physical training itself. By its very nature, physical training seeks to have me push beyond my physical and mental limits in order to produce a physical adaptation by my body. This requires feedback from me to my trainer regarding what is happening with my body. Excessive work can result (in rare cases) in external rhabdomyolosis. I should look for signs of excessive soreness, darkened urine, and pain in the kidney areas in the days following a particularly intense workout. While this type of injury is rare, it can occur due to a number of factors, including (but not limited to) genetic predisposition, medication, or other factors that are beyond the control of my trainer. I am aware that any of the above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity while training with Blairstown Station CrossFit.
I, the undersigned acknowledge that I have no physical condition, illness, or impairment that I know of that will endanger myself or others.
Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participation in the activities available at Blairstown Station CrossFit, I, the undersigned hereby release CrossFit, Inc., and its officers and directors, and Blairstown Station CrossFit, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the neglectant acts or omissions of the above mentioned parties.
This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of this agreement shall remain in full legal force and effect. If I am singing on behalf of a minor child, I also give full permission for any person connected with Blairstown Station CrossFit to administer first aim deemed necessary, and in case of serious illness or injury, I give permission to call for medical and/or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.
Indemnification: The participant recognizes that there is risk involved in the types of activities offered by Blairstown Station CrossFit. Therefore the participant accepts financial responsibility for any injury that the participant may cause to him/herself or to any other participant due to his/her negligence. Should the above-mentioned parties or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit, Inc. and Blairstown Station CrossFit, their principals, agents, employees and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligence or intentional act or omission while participating in activities offered by Blairstown Station CrossFit.
Photo/Video Release: I herby grant Blairstown Station CrossFit and The Celebrate Life Foundation permission to use my photograph/video image in any and all publications for CrossFit, Inc. or Blairstown Station CrossFit or The Celebrate Life Foundation, including on their website or publications, without payment or any other consideration in perpetuity.
I hereby authorize Blairstown Station CrossFit and The Celebrate Life Foundation to edit, alter, exhibit, publish, or distribute all photos and images. I waive the right to inspect or approve the finish product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to use of the photograph or video images.
I hereby hold harmless and release and forever discharge Blairstown Station CrossFit from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or ay other persons acting on my behalf of my estate which may have or may by reason of this authorization.
I am competent in my own name. I have read this release and I fully understand the contents, meaning, and impact of this release.
I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person or damage to property cause by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.
