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HYBRID FITNESS AND PATRICK HALL, PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK

In consideration of the services of Hybrid Fitness and Patrick Hall, their agents, owners, affiliates, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf, I hereby agree to release, indemnify, and discharge Hybrid Fitness and Patrick Hall on behalf of myself, my spouse, my children, my parents, my heirs, assignees, personal representatives and estate as follows:

I acknowledge that my participation with Hybrid Fitness and Patrick Hall entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The activity exposes its participants to the usual risk of cuts and bruises. Other more serious risks exist as well. Participants often fall off equipment, sprain or break wrists, ankles, and legs, and can suffer more serious injuries as well. Participants often fall on each other resulting in broken bones and other serious injuries. Flipping, running, and bouncing off the walls is dangerous and can cause serious injury and must be done at the participant’s own risk. There is also a risk of colliding with or being landed on by other participants of a different size. In any event, if you or your child is injured, you or your child may require medical assistance, at your own expense.

Furthermore, Hybrid Fitness, Patrick Hall, and their employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s health or abilities. They may give incomplete warnings or instructions, and the equipment being being used might malfunction.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Hybrid Fitness on the basis from any claim from which I have released them herein. I have had sufficient opportunity to read this entire document, I have read and understood it, and agree to be bound by its terms.

I further grant Hybrid Fitness and Patrick Hall, the right to photograph, videotape, and/or record me and/or my child/ward and to use our name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising and promotional materials without reservation or limitation.

Dated: December 6, 2019

First Participant's Name

First Name*

Last Name*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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PARENT’S OR LEGAL GUARDIAN’S ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18). In consideration of (print up to four minors’ names/birthdates below of SAME parent or legal guardian): (“Minor”) being permitted by Hybrid Fitness and Patrick Hall to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless Hybrid Fitness and Patrick Hall from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. I further certify that I am the parent or legal guardian of the minor on this agreement.
Parent or Guardian's Name

First Name*

Last Name*
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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