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Competition Waiver

The Capital City Crossfit Competition Waiver document consists of 3 sections: 1) Informed Consent/Assumption of Risk which outlines various health risks of strenuous exercise like heart problems, injuries, and in rare cases death. Participants acknowledge these risks. 2) Waiver and Release which has participants waive any claims against Capital City Crossfit for injuries from their activities and programs. 3) Indemnification which has participants accept financial responsibility for any injuries they cause others and agree to reimburse legal fees if Capital City Crossfit has to enforce the agreement.

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Zack Serrano
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710 views1 page

Competition Waiver

The Capital City Crossfit Competition Waiver document consists of 3 sections: 1) Informed Consent/Assumption of Risk which outlines various health risks of strenuous exercise like heart problems, injuries, and in rare cases death. Participants acknowledge these risks. 2) Waiver and Release which has participants waive any claims against Capital City Crossfit for injuries from their activities and programs. 3) Indemnification which has participants accept financial responsibility for any injuries they cause others and agree to reimburse legal fees if Capital City Crossfit has to enforce the agreement.

Uploaded by

Zack Serrano
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Capital City CrossFit Competition Waiver

(Please Print)
Name: Address: Home Phone #: Email: Emergency Contact: Emergency Phone: Birth Date: City: Cell Phone #: State Zip:

Informed Consent / Assumption of Risk:


I, ________________________, am aware that there are significant risks involved in all aspects of physical training. I understand that the reaction of the heart, lungs and vascular system to exercise cannot always be predicted with accuracy. I understand that there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart rate; chest, arm or leg discomfort; transient light-headedness or fainting; and in rare instances, heart attack, stroke or even death. 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 relatively rare, it can occur due to a number of factors, including (but not limited to) genetic predisposition or dehydration, that may be beyond the control of my trainer. I understand that the programs and classes offered by Capital City CrossFit are of a nature and kind that are extremely strenuous and can/may push me to the limits of my physical abilities. 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. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). x Waiver and Release: I fully understand that my personal exercise program may be strenuous and I choose to participate voluntarily. I accept all responsibility for my health and any results, injury or mishaps that may affect my well-being or health in any way. I waive any claims, demands, causes of action or any claims for relief whatsoever against, and release Capital City CrossFit (as well as any of its owners, employees, or other authorized agents, including independent contractors) from any and all liability, claims and/or causes of action that I may have for injuries or other damages, arising out of participation in Capital City CrossFit activities, including, but not limited to the personal training / nutritional programs and programs/classes. x Indemnification: I recognize that there is risk involved in the types of activities offered by Capital City CrossFit. Therefore I accept financial responsibility for any injury that I may cause either to myself 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 attorneys 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 Capital City 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 negligent or intentional act or omission while participating in activities offered by Capital City CrossFit. x I have fully read and fully understand 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. I have carefully read this Agreement and fully understand its contents. I am aware that this is a release and waiver of liability and sign it knowingly, voluntarily, and of my own free will.

Participants Signature

Participants Name (printed)

Date

If the participant is under the age of 18 (see below)

Parent/Guardian Signature

Parent /Guardian Name (printed)

Date

1615 W. Jefferson, Springfield, IL 62702 (217) 726-3817 / www.c3crossfit.com [email protected]

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