Waiver and Release of Liability
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 exertional 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
these 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 or class while
training with CrossFit Kanna.
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
participating in the activities available at CrossFit Kanna, I, the undersigned
hereby release CrossFit, Inc., its officers and directors, and CrossFit Kanna,
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 negligent 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 the agreement shall remain in full
legal force and effect. If I am signing on behalf of a minor child, I
also give full permission for any person connected with CrossFit Kanna to
administer first aid 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 CrossFit Kanna. Therefore the participant
accepts financial responsibility for any injury that the participant may cause
either 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 CrossFit Kanna, 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 negligent or
intentional act or omission while participating in activities offered by
Photo/Video Release:I hereby grant CrossFit Kanna permission to use my
photograph/video image in any and all publications for CrossFit, Inc. or
CrossFit Kanna, including on their websites or publications, without payment or
any other consideration in perpetuity.
I hereby authorize CrossFit Kanna to edit,
alter, copy, exhibit, publish or distribute all photos and images. I waive the
right to inspect or approve the finished product, including written or
electronic copy, wherein my photo appears. Additionally, I waive any right to
royalties or other compensation arising or related to the use of the photograph
or video images.
I hereby hold harmless and release and forever
discharge CrossFit Kanna from all claims, demands, and causes of action which
I, my heirs, representatives, executors, administrators, or any other persons
acting on my behalf of on behalf of my estate which may have or may have by
reason of this authorization.
I am competent to contract 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 and damage to property caused by my negligent or
intentional act or omission. I understand that by signing this
form I am waiving valuable legal rights.