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Today's Date: May 26, 2024

WAIVER:
Please be advised that we at CrossFit Reason recommend you consult with your physician before beginning any regular physical activity.

RELEASE OF LIABILITY, TERMS AND PROVISIONS:

  1. General Release. On behalf of myself, my heirs, executors, administrators, assigns, and legal representatives, I do hereby forever irrevocably and unconditionally RELEASE, DISCHARGE AND COVENANT NO TO USE CHANGE FITNESS INC (CROSSFIT REASON), ITS PRINCIPALS, AGENTS, EMPLOYEES, VOLUNTEERS, or any persons acting by, through, under or in concert with any of them (collectively, "Released parties") from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my use of any exercise equipment or facilities that are provided by Released Parties, or from any alleged NEGLIGENT INSTRUCTION, SUPERVISION, OR ACT OF OMMISION by Released Parties, INCLUDING WITHOUT LIMITATION, PRODUCT DEFECT, FAILURE TO WARN, FAILURE TO INSTRUCT, FAILURE TO CONSTRUCT PROPERLY, FAILURE TO KEEP SAFE, FAILURE TO MAINTAIN OR OTHER TORTIOUS CONDUCT.
  2. Assumption of Risks. I hereby represent, and Released Parties rely upon such representation, that I am familiar with and have knowledge of the risks, dangers, hazards and perils associated with exercise and intense physical exertion (hereafter, "CrossFit"). These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to my negligence or negligence of others, injury or death due to improper use or failure of equipment and the risks of rhabdomyolsis. I hereby assume full responsibility for and risk of such personal injury, including death, and damage to property. I warrant that I am in good health and have no physical condition that will endanger me or others.
  3. Waiter of Cal. Civil Code 1542. I acknowledge that by way of the General Release stated above, I am assuming all risk of bodily injury, death or property damage, and all other unknown unanticipated claims, and I agree to the release of Released Parties. Accordingly, I expressly waive whatever benefits I may have under Section 1542 of the California Civil Code.
    "A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor"
  4. Breadth of Release, Waiver & Indemnity. I expressly agree that this Release, Waiver and Indemnity is intended to be as broad and inclusive as permitted by applicable law and that if any portion of it is held invalid, then the balance shall nevertheless continue in full legal force and effect.
  5. Indemnity. I hereby agree to indemnify, defend and hold the Released Parties harmless from and against any and all claims, causes of action, demands or charges of whatever nature which any third party or personal may claim to have or hold for property damage or personal injuries or any other damages including death, arising from or related to my participation with CrossFit.
  6. Use of Photos/Films/Likeness. I further agree to allow Released Parties the use of photos, film, and/or likenesses of me for advertising purposes. In the event I choose not to allow the use of the same for said purpose, I agree that I must provide written notice to Released Parties.
  7. Applicable Law; Severability. This agreement shall be governed by the laws of the State of California applicable to contracts made and to be fully performed in the State of California. Any provision of this agreement which may be prohibited by or otherwise held invalid, void, or unenforceable shall be ineffective only to the extend of such prohibition or invalidity and shall not invalidate or otherwise render ineffective any other provisions hereof.
  8. Minor Child(ren). I also give full permission for any person connected with Released Parties to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and/or surgical care for the child(ren) and to transport the child(ren) to a medical facility deemed necessary for the well being of the children.
  9. Refunds. No refunds shall be made for services purchased.
First Participant's Name

First Name*

Last Name*

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

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
We want to get to know ya!

What is your T-Shirt (top) Size? (We love to send gifts! :)) *

What is your Shoe Size? *

What is your favorite hobby? *
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

HEALTH PROFILE:


Please list any other medical conditions we should be aware of, and any previous injuries and/or surgeries:

EXERCISE PROFILE:

Have you ever done CrossFit before?*
No
Yes

Where?
Do you currently exercise?*
No
Yes

Hours/week:
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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