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Boss Sports Performance

Rebound Physical Therapy, LP

Waiver & Liability Release Form

TODAY'S DATE: November 21, 2024

 

 Boss Sports Performance

You acknowledge that you will be engaging in certain Activity (as defined below) at Boss Sports Performance. Because the Activity can be strenuous and subject you to risk of serious injury or death, Boss Sports Performance urges you to obtain a physical examination, including a concussion evaluation, from a doctor before beginning any exercise or training program. Further, you will be engaging in the Activity in a confined space close to others which carries with it certain risks of exposure to disease and to injury caused by the negligent acts of others. You agree that you are voluntarily participating in the Activity and assume all risks of injury or damage to you or your property from whatever cause including but not limited to the malfunction of equipment or facilities, the negligent acts or omissions of others, and the spread of disease.

By signing this liability waiver and release you release and discharge Boss Sports Performance, its employees and owners, your personal trainer, instructor, and physical therapist (collectively the “Boss Related Parties”) from any and all claims or causes of action for bodily injury, death, disability, paralysis, concussions, property damage or theft, or other loss of any kind caused by or arising from the Activity.

For purposes of this release from liability reference to “Activity” includes but is not limited to: (a) your use of all amenities and equipment in the Boss Sports Performance facility and any off site location and your participation in any activity, class, program, personal training, or instruction; and (b) instruction, training, supervision, or dietary recommendations provided by Boss Related Parties.

You understand that you are not required to participate in the Activity, and if you choose to participate in the Activity, that there are many other opportunities available for you to participate in the same or similar activities elsewhere.

If any part of this liability waiver and release is determined to be unenforceable for any reason or under any circumstance, it is intended that all other terms will be enforced in all other circumstances. You acknowledge that you have carefully read this waiver and release and fully understand that by signing you agree to voluntarily give up any right that you may otherwise have to bring a legal action against Boss Related Parties for negligence, or any other personal injury or property damage or loss action. 

Boss Baseball, LLC

I hereby acknowledge and agree that participation in lessons, clinics, camps; and participation in all activities conducted within the Boss Baseball, LLC facilities as well as off-site activities sponsored by Boss Baseball, LLC have inherent risks.

In consideration of the services provided by Boss Baseball, LLC, their agents, officers, participants, consultants, employees, and all persons or entities acting in any capacity on their behalf (hereinafter referred to as “Boss Baseball, LLC”) I now agree and certify as follows:

  1. I acknowledge and fully understand that I, the participant (if participant is 18 years of age or older) or parent/legal guardian of the listed minor participant, will be engaging in activities that may involve risk of serious injury which might result not only from my own actions, inactions, or negligence, but from the actions, inactions, or negligence of others or the conditions of the premises or of any equipment used. Further, that there may be other risks not known or not reasonably foreseeable at this time. The risks may include, but are not limited to: nature of the activity, latent or apparent defects of conditions in equipment or property supplied by the “Boss Baseball, LLC” or other entity; acts of other participants in this activity, employees, volunteers or agents of the “Boss Baseball, LLC”; my own physical condition, acts or omissions; conditions of the “Boss Baseball, LLC” and surrounding grounds or terrain and accidents connected with their use; first aid emergency treatment or other services.
  2. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and;
  3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, I expressly agree and promise to accept and assume all the risks existing in this activity. My participation in this activity is purely voluntary and I elect, in spite of the risks, to participate. I assume all the foregoing risks and accept personal responsibility for the damages following such injury.
  4. On behalf of myself, my children, my parents, my heirs, assigns, personal representatives I hereby voluntarily release, waive, forever discharge, and agree to indemnify and hold harmless “Boss Baseball, LLC”, and each of their respective commissioners, directors, agents, sponsors, and other employees, its parent, subsidiaries, affiliates, employees, distributors, and agents, other facility participants, and, if applicable, operator or lessors of premises used to conduct the event/activity, from any and all liability for any and all claims, demands of causes of action which are in any way connected with my participation in this activity or my use of the “Boss Baseball, LLC” equipment or facilities.
  5. I hereby certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating in these activities or alternatively I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
  6. I hereby certify that I have read and am familiar with the “Boss Baseball, LLC” Rules and Regulations and will comply with conditions set forth therein.
  7. I acknowledge and certify that I am at least 18 years old, or the parent or legal guardian of the participant under 18, and I agree I will wear a helmet at all times while in the Batting Cages. I hereby provide the “Boss Baseball, LLC” permission to administer basic First Aid and I authorize its agents or employees to contact 911 or other emergency personnel as needed.

By signing this document, I acknowledge that if anyone is hurt, or property is damaged during participation in this activity a court of law may find me to have waived my right to maintain a lawsuit against the “Boss Baseball, LLC”, and any of the other parties associated with the “Boss Baseball, LLC” on the basis of any claim from which I have released them herein.

Boss Basketball, LLC

You acknowledge that you will be engaging in certain Activity (as defined below) at Boss Basketball. Because the Activity can be strenuous and subject you to risk of serious injury or death, Boss Basketball urges you to obtain a physical examination, including a concussion evaluation, from a doctor before beginning any exercise or training program. Further, you will be engaging in the Activity in a confined space close to others which carries with it certain risks of exposure to disease and to injury caused by the negligent acts of others. You agree that you are voluntarily participating in the Activity and assume all risks of injury or damage to you or your property from whatever cause including but not limited to the malfunction of equipment or facilities, the negligent acts or omissions of others, and the spread of disease.

By signing this liability waiver and release you release and discharge Boss Basketball, its employees and owners, your personal coach, skills instructor, and physical therapist (collectively the “Boss Related Parties”) from any and all claims or causes of action for bodily injury, death, disability, paralysis, concussions, property damage or theft, or other loss of any kind caused by or arising from the Activity.

For purposes of this release from liability reference to “Activity” includes but is not limited to: (a) your use of all amenities and equipment in the Boss Basketball facility and any off site location and your participation in any activity, class, camps, programs, personal training, or instruction; and (b) instruction, training, supervision, or dietary recommendations provided by Boss Related Parties.

You understand that you are not required to participate in the Activity, and if you choose to participate in the Activity, that there are many other opportunities available for you to participate in the same or similar activities elsewhere.

If any part of this liability waiver and release is determined to be unenforceable for any reason or under any circumstance, it is intended that all other terms will be enforced in all other circumstances. You acknowledge that you have carefully read this waiver and release and fully understand that by signing you agree to voluntarily give up any right that you may otherwise have to bring a legal action against Boss Related Parties for negligence, or any other personal injury or property damage or loss action. 


Nutrition 

Our Nutrition Coach is a nutrition consultant and does not function as a physician, diagnose or treat disease, nor do her services replace the necessary services of a licensed physician. Our Nutrition Coach makes no representations, claims, or guarantees regarding the efficacy of her recommendations. The recommendations are based upon a combination of her nutrition and health coaching education and knowledge of Precision Nutrition, NASM, and nutrition classes. A nutrition consultation as provided by Abbi Hamlin does not constitute a medical service or health care treatment.I understand that the nature of the recommended treatments for my care will be explained to me and that I will have the opportunity to ask questions of those involved in my care. I am not being forced to accept treatment. Individualized recommendations are offered and applied as an educational and informative consultation. Any action taken as a result of the consultation is done at the sole discretion and risk of Client. Therefore, it is strongly recommended that in addition to any health consultation that you maintain a relationship with one or more physicians qualified to care for health condition(s). For example, in the case of children you are advised to seek the advice of a pediatrician; if you have cardiovascular disease, consult with a cardiologist; and if you have cancer, consult with an oncologist, etc. Client’s signature verifies that Client has not been told to discontinue treatments with any other medical specialists or other health care providers. Client’s signature is being given prior to rendering any service, advice, and/or recommendations whatsoever. Financial Policy: Patients are fully responsible for all professional services received. Client is not contracted with insurance companies and does not bill for services. I, the undersigned, understand that I am responsible for all charges.

Photography /Videography

Events may be videotaped and/or photographed for use in the future marketing materials. By signing below, you acknowledge that you understand the likely event of professional or amateur photography and videotaping of the event in which you or your child participates, and agree to hold Boss Sports Performance or any of its subsidiaries, affiliates and contracted partners harmless from any claims that would arise out of any internet, email or any other public display or dissemination of pictures and videos in which you or your child is displayed, portrayed or pictured. You further acknowledge and understand that you have no ownership rights to such photos/video/marketing material. 

Use of Likeness

Participants and his/her parents or guardian hereby authorize Boss Sports Performance, Boss Baseball, Boss Basketball, and its assigns to use any and all photographs, pictures, videos or other likenesses of participants in its promotional materials or social media platforms.

I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ENTIRE DOCUMENT. I HAVE READ AND UNDERSTOOD IT, AND I AGREE TO BE BOUND BY ITS TERMS.

 

 

 

 

 





Please select who will be training...
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First Athlete's Name

First Name*

Last Name*

Phone*
First Athlete's Date of Birth*
First Athlete's Information

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE


Please list the date of your last physical:
Has your doctor ever said that you have a heart condition and recommended only medically supervised physical activity?*
Have you had chest pain when you were or were not doing physical activity?*
Do you lose your balance due to dizziness or do you ever lose consciousness?*
Do you have any of the following bone, joint or other problem that causes you pain or any limitations to address when developing a program? (please check all that apply)
Arthritis
High Blood Pressure
High Cholesterol
Osteoporosis
Anorexia
Anaemia
Epilepsy
Respiratory Ailments
Back Problems
Other

If Other, please list:

If you have marked YES to any of the above, please elaborate below. Also list any other information your trainer should know about your health and/or fitness levels:
First Athlete's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE


Please list the date of your last physical:
Has your doctor ever said that you have a heart condition and recommended only medically supervised physical activity?*
Have you had chest pain when you were or were not doing physical activity?*
Do you lose your balance due to dizziness or do you ever lose consciousness?*
Do you have any of the following bone, joint or other problem that causes you pain or any limitations to address when developing a program? (please check all that apply)
Arthritis
High Blood Pressure
High Cholesterol
Osteoporosis
Anorexia
Anaemia
Epilepsy
Respiratory Ailments
Back Problems
Other

If Other, please list:

If you have marked YES to any of the above, please elaborate below. Also list any other information your trainer should know about your health and/or fitness levels:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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