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Photography and Video Release

 

Participants involved in any activities offered by Backyard Box LLC may be photographed or videotaped during training. The undersigned hereby consensts to the use of these photographs and these videos without compensation on the Backyard CrossFit website or in any editorial, promotional or advertising material produced and/or publiced by Backyard Box LLC.

 

 

I/We hereby understand and acknowledge that the training, programs and events held by Backyard Box Los Angeles LLC may expose me to many inherent risks including: accidents, injury, illness or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity and all other risks being known and appreciated by me.

 

I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in any activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in.

After having read this waiver, knowing these facts, and in consideration of acceptance of my participation with Backyard Box Los Angeles LLC (Backyard CrossFit), I agree, for myself and anyone entitled to act on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE Backyard Box Los Angeles LLC, it's officers, agents, employees, organizers, trainers, representatives and successors from any responsibility, liabilities, demands or claims of any kind arising out of my participation in Backyard Box Los Angeles LLC (Backyard CrossFit) training, programs and/or events.

By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is waiver and a release of liability and I voluntarily agree to it's terms:

I Agree

August 26, 2019

 

Rhabdomyolysis (Rhabdo) Release and Waiver

 

I, in consideration for continued access to the training facility identified as Backyard CrossFit (Backyard Box LL), do hereby acknowledge the significant risks associated with the physical training and programming at this facility. I acknowledge and attest to having fully and carefully read and reviewed this Release and Waiver including all subparagraphs prior to engaging in any physical activity at this facility.

Rhabdomyolysis (hereinafter referred to as Rhabdo) can occure when an individuals physical activity is so intense that muscular cells begin to breakdown and contents and/or remaining materials enter the bloodstream. Rhabdo may be caused by many other systematic orenvironmental causes. However, exertional rhabdo can occur in athletes of all levels of fitness, resulting in muscle cell destruction. The skeletal muscle breakdown impairs kidney function as those organs are unable to handle increased enzymes that are released into the bloodstream. This induces severe physiological changes in the body.

The symptoms of Rhabdo include, muscle pain, stiffnes and extreme weakness, darkening of urine output, altered mental status, swelling of hte body part involved, either with our without pain.

I understand and have been advised that generally the pain that is referred to as a Rhabdo symptom is pain out of proportion to the amount of soreness that one would generally expect, often producing pain much quicker than one would expect after a workout.

I understand that any concerns on my part that I am experiencing any of the symptoms of Rhabdo require immediate presentation to a hospital for emergency treatment. I acknowledge that no third party, either from the facility or otherwise, will be capable of monitoring my urine output or color, and it is my responsibility to be continually cognizant of this symptom and all other symptoms and to moniter them in my own body at all times. I agree that I will remove myself from participation and seek medical treatment of my own accord should i have any concerns regarding possible symptoms of Rhabdo.

I acknowledge and understand that all individuals engaged in demanding workouts are potentially exposing themselves to Rhabdo and/or other injuries/negative results. However, I uderstand statistically indivuduals most likely to experience Rhabdo are those who are in good shape by general standards or who were previously in good physical shape. This includes prior athletes and/or military personnel, law enforcement or firefighters. I acknowledge that often the more mentally tough a potential athlete is and the more athletic they were in the past or currently are, the greater the risk of exposre to Rhabdo.

I acknowledge and fully understand that statistically the chances of me developing Rhabdo are extremely slight, but I likewise appreciate the necessity that I be aware of the symptoms of this condition. I agree to monitor myself in a manner that is proportionate to the potential injury that can be occasionedby this condition. I acknowledge and understand that I am the only individual capable of determining if I am expriencing Rhabdo symptoms. I hereby agree and do willngly assume responsibility for the risks that I expose myself to and accept full responsibility for any injury or death that may result from participating in this significantly demanding physical activity.

WIth the oportunity to fully inform myself about Rhabdo and the risks thereof, I knowingly and freely assume and accept all such risks both known and unknown. I assume full responsibility and all risks from my participation in any physical activity at the facility. I for myself and on behalf of my heirs, assigns, personal representatives and/or next of kin, forever WAIVE, RELEASE, DISCHARGE and COVENANT NOT TO SUE Backyard CrossFit (Backyard Box LLC) and/or their officers, directors, representatives, partners, officials, principals, agents, trainers or employees, subsidiaries, or assigns, as well as their independent contractors.

I hereby acknowledge that I have witnessed that the above party has fully read this document and has been given the opportunity to ask any questions that he/she may have regarding its contents.

August 26, 2019

 

 

 

 

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