Max Fitness CrossFit
Waiver, Release, and Assumption of Risk Form
I, , have been informed of, understand and am aware that any exercise program, whether or not requiring the use of exercise equipment, is a potentially hazardous activity. I also have been informed of, understand and am aware that any exercise and/or fitness activities involve a risk of injury, as well as 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 a remote risk of heart attack, stroke, other serious disability or death. I have been informed of, understand and am aware that the programs and classes offered by Max Fitness CrossFit are of a nature and kind that are extremely strenuous and can/may push me to the limits of my physical abilities, and that I am voluntarily participating in these activities and using equipment and machinery with full knowledge, understanding and appreciation of the dangers involved. I hereby agree to expressly assume and accept any and all risks of injury, regardless of severity, or death.
I have been advised that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise program, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physicians consent prior to participating in the Max Fitness CrossFit, I hereby agree that I am doing so solely at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all fitness related activities and/or exercises in which I participate.
I acknowledge that I have voluntarily chosen to participate in the CrossFit, which may include, but may not be limited to, resistance training and aerobic or cardiovascular exercise. I, my heirs, executors, partners, family members, attorneys, insurers, agents, representatives, executors, administrators, successors, assigns, and all those who claim through them or could claim through them, do here now and forever release and discharge and hereby hold harmless Max Fitness CrossFit, Olivio, LLC, and each of their present, former and future parents, predecessors, successors, assigns, assignees, affiliates, subsidiaries, divisions, owners, partners, principals, trustees, creditors, shareholders, joint ventures, officers, directors (whether acting such capacity or individually), attorneys, vendors, accountants, nominees, agents, (alleged, apparent or actual), representatives, employees, managers, administrators, contractors, volunteers, and/or each person or entity acting or purporting to act for them or on their behalf (collectively referred to as Releasees) from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting there from.
Photo/Video Release: I hereby grant Max Fitness CrossFit permission to use my photograph/video image in any and all publication for CrossFit or Max Fitness CrossFit, including website entries, without payment or any other consideration in perpetuity. I hereby authorize Max Fitness CrossFit to edit, alter, copy, exhibit, publish or distribute all photos or images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photos appear. 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 Max Fitness CrossFit from all claims, demands and causes of actions which I, my heirs, executors, partners, family members, attorneys, insurers, agents, representatives, executors, administrators, successors, assigns, and all those who claim through them or could claim through them.
Indemnification: I recognize that there is risk involved in the types of activities offered by Max Fitness 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 the Releasees 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 Max Fitness CrossFit.
THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT BELONGING TO RELEASEES OR TO MYSELF THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP, FALL, DROPPING OF EQUIPMENT; AND/OR (3) NEGLIGENT INSTRUCTION OR SUPERVISION.
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I AM ALSO AGREEING TO CONSENT OF ALL PHOTOS THAT WILL BE TAKEN DURING CROSSFIT MAY BE SHARED AND USED BY MAX FITNESS CROSSFIT. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST THE RELEASEES FOR NEGLIGENCE ON THE PART OF MYSELF, MY TRAINING PARTNER, OTHER PEOPLE AROUND ME, OR THE RELEASEES.
This form is an important legal document that explains the risks you are assuming by beginning an exercise program. It is critical that you have read and understand this document completely. If you do not understand any part of this
document, it is your ultimate responsibility to ask for clarification prior to signing it.
Participants signature Date
Please print name
Parent or legal guardian (if participant is under age eighteen) Date