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CROSSFIT SWEAT SHOP RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

December 10, 2019

This release is made to allow Nabil Langkilde dba CrossFit Sweat Shop (Trainer) to allow me to participate in CrossFit training (the Training).  In connection with the Training I am volunteering to engage in physical or otherwise dangerous activities including but not limited to sports activities, and to be coached, encouraged, evaluated, measure and tested in connection with such activities under extreme conditions.

In consideration of being permitted to participate in the Training, and for other good and valuable consideration, receipt of which I hereby acknowledge, I ACKNOWLEDGE, UNDERSTAND AND AGREE THAT:  (i) engaging in the Training will expose me to extreme, hazardous, and unnatural circumstances, and a significant risk of injury, including without limitation, physical and mental illness, emotional distress, death, disability, disfigurement, and loss or damage to person or property;  (ii) following any recommendations for changes in diet, including the use of food supplements and/or weight reduction products may cause harm and are entirely my responsibility, and I will undertake to consult a physician prior to undergoing dietary or food supplement changes, (iii) in undertaking severe exercise routines that are a part of Training there is a risk of rhabdomyolysis (rhabdomyolysis is a potentially lethal systemic shutdown initiated by the kidneys in response to the presence of shed muscle fiber debris and exhaust in the bloodstream), (iv) non-Training-related injuries (slip, fall, etc.) may occur in the Training facility (including the parking area), and (v) damage to or theft of my valuables may occur in the Training facility (including the parking area).

1. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, even if arising from negligence of the persons released from liability below, other participants or any other third parties, and assume full responsibility for my participation in the Events.  IN NO WAY HAVE I BEEN SUBJECTED TO ANY COERCION, PRESSURE OR UNDUE INFLUENCE BY TRAINER TO ENGAGE IN THE EVENTS.  I acknowledge that no representations or warranties of any kind whatsoever have been made to me regarding my qualifications or ability to participate in the Training or regarding any of the equipment or services to be used in connection with the Training and that I will use such equipment or services entirely at my own risk.

2.  I, for myself and my heirs, next of kin, spouse, guardians, legal representatives, executors, administrators, employees, successors, and assigns (the Releasing Parties) HEREBY UNCONDITIONALLY AND IRREVOCABLY RELEASE, FOREVER DISCHARGE, AND HOLD HARMLESS Trainer, their parent and related companies, subsidiaries (whether or not wholly-owned), affiliates, divisions, and their past, present, and future directors, officers, agents, representatives, employees, contractors, partners, shareholders, members, successors, licensees and assigns (the Released Parties) to the fullest extent permissible under law from any and all liabilities, claims, and demands of any kind or nature whatsoever, in law or equity, whether known or unknown, and whether at my instance or at the instance of any third party, related to any harm, loss, physical or mental injury, physical or mental illness, emotional distress, death or damage to person or property that I, my property or equipment, or any third party may suffer arising out of or pursuant to the negligence of the Released Parties or otherwise, or in connection with or related, directly or indirectly, to my preparation, participation or performance in the Training, whether occurring before, during or after my actual participation in the Training (including emergency medical care), whether such loss or damage be direct, indirect, consequential or otherwise, and whether or no due to the negligence, actions or omissions of the Released Parties, other participants or otherwise (the Released Claims), including but not limited to claims of fraud, fraudulent inducement, breach of implied contract, medical privacy, medical malpractice, defamation, and invasion of privacy.

3.  I and the other Releasing Parties irrevocably agree to DEFEND, INDEMNIFY, AND HOLD HARMLESS each of the Released Parties from and against all liabilities, claims, and demands of any kind or nature whatsoever, in law or equity, whether known or unknown, by whomever asserted, with respect to (i) any and all Released Claims, (ii) any claims of other participants or any third parties for any damage, distress or injury to person or property that I allegedly caused, and (iii) any of my actions or omissions not authorized by or outside the scope of reasonable instructions given by Trainer or its designees.

4.  I, on behalf of myself and the other Releasing Parties acknowledge that there is a possibility that subsequent to the execution of this Agreement, I or they will discover facts or incur or suffer claims which were unknown or unsuspected at the time this agreement was executed, and which if known by me or them at that time may have materially affected my or their decision to execute this agreement.  I and the other Releasing Parties acknowledge and agree that by reason of this Agreement, and the release contained in the preceding subsections, I, on behalf of myself and the other Releasing Parties, am assuming any risk such unknown facts and such unknown and unsuspected claims.  I and the other Releasing Parties have been advised of the existence of Section 1542 of the California Civil Code, which provides:

A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT 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.

Notwithstanding such provisions, this release shall constitute a full release in accordance with it’s terms.  I and the other Releasing Parties knowingly and voluntarily waive the provisions of Section 1542, as well as any other statute, law, or rule of similar effect, and acknowledge and agree that this waiver is an essential and material term of this release, and without such waiver I would not have been permitted to audition or become a participant in the Training.  I, on behalf of myself and the other Releasing Parties, hereby represent that I and they have been advised by their legal counsel, acknowledge and understand the significance and consequence of this release and of this specific waiver of Section 1542 and other such laws.

5.  Any other provision of this Agreement notwithstanding, California law governs this Agreement.  I further agree that all disputes arising out of or related to this Agreement, its breach and/or the Training shall be resolved by binding arbitration administered by the American Arbitration Association (AAA) in accordance with their commercial arbitration rules.  The AAA rules for selection of an arbitrator shall be followed.

6.  This Agreement represents the entire understanding between the parties and can only be amended in a writing signed by a duly authorized officer of CrossFit Sweat Shop.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY.

First Participant's Name

First Name*

Middle Name

Last Name*

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Third Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Fourth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Fifth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Sixth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Seventh Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Eighth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Ninth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
Tenth Participant's Name

First Name*

Middle Name

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
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*
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

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

EXHIBIT A:  EMERGENCY MEDICAL RELEASE CROSSFIT SWEAT SHOP

IN CASE OF EMERGENCY, I, by signing below, authorize Nabil Langkilde dba CrossFit Sweat Shop, any of its parent, subsidiaries, or affiliates, and any of their respective employees, representatives, agents, and contractors, as my agent and representative (collectively, my "Agents"), to arrange for or provide such first aid, medical, surgical, dental, and/or psychological assistance to me as they determine to be necessary.  Such emergency medical assistance shall be at my sole cost.

I further authorize my Agents, as my agent and representative, to consent to and authorize surgical, medical, dental, and/or psychological treatment or services by any licensed or certified physician, paramedic, hospital, medical facility, or health care provider for me when such treatment or service is deemed necessary or advisable by such provider.  These services include but are not limited to x-rays, CTs, MRIs, PETs, and other scans, laboratory and other diagnostic tests, emergency room services, anesthesia, blood transfusions, sutures, casts, injections, drugs, and/or surgery.

I also authorize any licensed or certified physician, paramedic, psychologist, therapist, dentist, hospital, medical facility, and/or other health care provider to provide any medical, surgical, dental, and/or psychological care and/or hospitalization to me, including all services listed above, that they determine necessary or advisable, pending receipt of a specific consent from me.  Nothing in this Agreement in any way limits my right, or the right of anyone holding a medical proxy for me, to make medical decisions for me (which decisions shall prevail over Nabil Langkilde's dba CrossFit Sweat Shop medical decisions).

I authorize and acknowledge that my Agents may receive health information about me, as someone involved in my care, as appropriate for effectuating this release.

It is understood this release is given in advance of any specific diagnosis, condition, or injury having occurred, but is given to provide the authority to consent to or authorize such treatment or services, as my Agents and my health care provider, in the exercise of their reasonable judgment, may deem advisable.

I acknowledge that I have listed below all medical conditions that could in any way affect or be affected by my participation in the Training.


Medical Conditions

_______________________________

Physical Activity Readiness Questionnaire (PAR Q)


1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*
No
Yes
2. Do you feel pain in your chest when you do physical activity?*
No
Yes
3. In the past month, have you had chest pain when you were not doing physical activity?*
No
Yes
4. Do you lose your balance because of dizziness or do you ever lose consciousness?*
No
Yes
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
No
Yes
6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?*
No
Yes
7. Do you know of any reason why you should not do physical activity?*
No
Yes

If you answered "yes" to one or more of the above questions, consult your physician before engaging in physical activity.

____________________

Photo Release

I grant to Nabil Langkilde dba CrossFit Sweat Shop ("Photographer") the absolute and irrevocable right and unrestricted permission concerning any photographs that he has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if he so chooses. I release and discharge Photographer from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of Photographer, as well as the person(s) for whom he took the photographs. I am a legally competent adult and have the right to contract in my own name. I have read this document and fully understand its contents. This release shall be binding upon me and my heirs, legal representatives, and assigns.


How did you hear about CrossFit Sweat Shop? *
Friend or family member
Google
Facebook
Instagram
Yelp
Walking along trail
Other
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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