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Release and Waiver of Liability

CrossFit SoNo

1524 North Halsted

Chicago, IL 60642

Release and Waiver of Liability and Indemnity Agreement

In consideration of being permitted to participate in any way in the Chicago Mixed Martial Arts program and/or CrossFit SoNo program (herein also defined and referred to as releasee(s)) and/or being permitted to enter for any purpose any restricted area (herein defined as any area where in admittance to the general public is prohibited):

1. I/We fully understand and acknowledge that:

a. There are risks and dangers associated with participation in these activities which could result in bodily injury partial and/or total disability, paralysis and death.

b. The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.

c. These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to the releasees named above.

2. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the releasees.

3. I/We hereby release, waive, discharge, and agree not to sue the Chicago Mixed Martial Arts (Fights Sports LLC), CrossFit SoNo (Athlete Chicago LLC), including it owners, managers, trainers, lessees of premises used to conduct the program, underwriters, consultants and others who give recommendations, directions or instructions.

4. The undersigned further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

5. If, despite the release, the participant makes a claim against any of the releasees, the participant, parents(s) and/or legal guardian(s) will reimburse the releasee for any money that the releasee or his agents pay to defend themselves against legal actions.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

I Agree

First Member's Name

First Name*

Middle Name

Last Name*

Phone*
First Member's Date of Birth*
First Member's Signature*
Second Member's Name

First Name*

Middle Name

Last Name*
Second Member's Date of Birth*
Third Member's Name

First Name*

Middle Name

Last Name*
Third Member's Date of Birth*
Fourth Member's Name

First Name*

Middle Name

Last Name*
Fourth Member's Date of Birth*
Fifth Member's Name

First Name*

Middle Name

Last Name*
Fifth Member's Date of Birth*
Sixth Member's Name

First Name*

Middle Name

Last Name*
Sixth Member's Date of Birth*
Seventh Member's Name

First Name*

Middle Name

Last Name*
Seventh Member's Date of Birth*
Eighth Member's Name

First Name*

Middle Name

Last Name*
Eighth Member's Date of Birth*
Ninth Member's Name

First Name*

Middle Name

Last Name*
Ninth Member's Date of Birth*
Tenth Member's Name

First Name*

Middle Name

Last Name*
Tenth Member's Date of Birth*
Member'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 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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