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RELEASE OF LIABILITY AND ASSUMPTION OF RISK 

  1. I, the undersigned, desire to participate in CrossFit physical training exercises and other activities (“Exercise”) sponsored by or provided by Seatown Athletics, LLC, d/b/a Seatown CrossFit (“Seatown”). I am aware that there are significant risks involved in any physical training regimen. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. Injury may also result simply from the fact of physical training itself.By its very nature, physical training seeks to have me push beyond my limits in order to produce a physical adaptation by my body. This requires feedback from me to my trainer regarding what is happening with my body. Excessive work can result (in rare cases) in exertional rhabdomyolysis. I should look for signs of excessive soreness, darkened urine, and pain in the kidney areas in the days following a particularly intense workout. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). 
    I Agree
  2. In consideration of my acceptance into and participation in a program of strength, flexibility and cardiovascular training conducted by Seatown and for other good and valuable consideration, and having knowledge of the dangers and risks in this program as further described below, I hereby release, hold harmless and discharge forever Seatown and CrossFit Inc., its fitness centers and its officers, employees, instructors, operators, and agents from any and all present and future claims, liability, and demands for property damage, personal injury, illness, wrongful death or other damage or costs or expenses arising as a result of, or in connection with, my participation in the program. I agree not to sue Seatown and CrossFit Inc. or others stated above in connection with any such injury or damage as stated above. I hereby voluntarily waive any and all claims, present and future, that may be made by me, my family, estate, heirs, assigns or others acting on my behalf and assume all risks arising from the program.
    I Agree
  3. I hereby declare myself to be physically fit and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation or use of equipment or machines. I acknowledge that I have either had a physical examination and have been given permission by my physician to participate, or I have decided to participate in the exercise activities, programs and use of equipment without the approval of my physician in said activities, programs and use of equipment. If I am signing on behalf of a minor child, I also give full permission for any person connected with Seatown CrossFit 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 and to transport the child to a medical facility deemed necessary for the wellbeing of the child.
    I Agree
  4. I agree to indemnify and hold harmless Seatown and CrossFit Inc. and others listed for any and all claims based on my acts or omissions, or the acts or omissions of others, arising as a result of my participation in or receiving instruction in strength, flexibility and cardiovascular activities or any activities incidental thereto, wherever, whenever, or however the same may occur. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless Seatown and CrossFit Inc., their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by CrossFit.
    I Agree
  5. I understand that this waiver is intended to be as broad and inclusive as permitted by Washington Law which shall be the applicable law in any legal proceeding arising from a claim under the program and agree that if any portion is held invalid, the remainder or the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the State of Washington. 
    I Agree
  6. I have carefully read this document and understand and acknowledge that by signing this document, I am giving up all legal rights and remedies, which may be available to me for the acts or omissions of Seatown, CrossFit Inc. and others listed above. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
    I Agree

I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

Date: October 21, 2018

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
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*
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Emergency Contact

Emergency Contact: *

Relation to this person: *

Phone #: *

Work phone #:
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*

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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