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THE CORNER BOXING CLUB, LLC RELEASE, WAIVER OF LIABILITY & ASSUMPTION OF PERSONAL RISK

Today's Date: October 21, 2018

In consideration of my participation in training conducted by and use of the facilities and equipment owned, rented and/or operated by THE CORNER BOXING CLUB LLC, a Colorado limited liability company.
I, the undersigned, hereby (and on behalf of my family, representatives, assigns, and heirs) agree to hold harmless, indemnify, release, discharge and covenant not to sue THE CORNER BOXING CLUB, LLC its owners, affiliates, members, officers, managers, agents, and other guests or persons (collectively THE CORNER BOXING CLUB") from any and all claims or causes of action (present or future, known or unknown) arising out of or relating to the undersigned's use of the facilities of or participation in any activity at or sponsored by THE CORNER BOXING CLUB, including but not limited to, using any gym equipment, training, boxing, sparing, participation in boxing or training sessions, and all other activities (collectively "Gym Activities"). This release includes, without limitation, any acts or omissions, including negligence of THE CORNER BOXING CLUB.

I acknowledge and agree that if I engage in any gym activities I do so at my own risk and specifically assume all such risks. I specifically agree that THE CORNER BOXING CLUB is not responsible for any injury, however minor, major or catastrophic, including death, or loss of damaged property suffered while on its premises or participating in gym activities. This includes specifically, but without limitation, all gym activities, use of the lockers, parking area, sidewalk, group or other exercise areas, or any equipment in the facilities, and my participation in any activity, class, program or instruction.

I acknowledge and agree that I know, understand, and appreciate the serous inherent risks of the sport of boxing and the gym activities and understand that my participation in boxing and the gym activities may cause injury or contribute to various health issues, ranging from minor injuries, such as bruises or sprains; to major injuries such as loss of sight, back injuries, concussions, strokes, or heart attacks; to catastrophic injuries including paralysis or death.

I acknowledge and agree that this release and waiver is intended to be as broad and inclusive as permitted by the laws of the state of Colorado and that if any portion hereof is held invalid the balance shall continue in full legal force and effect.

By the execution of this waiver, I represent to The Corner Boxing Club that I am voluntarily participating in boxing and gym activities, that I fully assume all risks associated with the participation therein, and that I have no health condition that precludes or limits me from participating in such activities. Moreover, I represent to The Corner Boxing Club that I am over the age of 18. 

I Agree
 

I HAVE READ AND UNDERSTAND THIS DOCUMENT. I UNDERSTAND THAT I AM GIVING UP LEGAL RIGHTS BY SIGNING IT AND THAT IT IS A LEGAL AND BINDING RELEASE AND WAIVER OF ALL CLAIMS AND IS ENFORCEABLE UNDER THE LAWS OF THE STATE OF COLORADO.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
If the participant is under the age of 18 , the parent or legal guardian of the participant is required to sign. I affirm that I am the parent or legal guardian of the above named minor and agree and consent with the foregoing and their participation in Club Activities
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
I grant to The Corner Boxing Club, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize The Corner Boxing Club, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that The Corner Boxing Club may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.*
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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