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Welcome to CrossFit 133  and Project 15 Fitness, LLC

GENERAL WAIVER
CrossFit 133, Project 15 Fitness LLC, Dennis Floyd and Stacey Floyd

PLEASE NOTE: This waiver of Liability, Release, Acknowledgement of Risk, and Indemnification Agreement (“Waiver Agreement”) is intended to be, and is, legally binding.

If any aspect of this Waiver Agreement requires clarification, have a CrossFit 133 or Project 15, employee fully explain it before signing. By signing the CrossFit133 and Project 15 Fitness LLC “Student Registration” you are agreeing to all terms set forth in this Waiver Agreement. You and/or the person on whose behalf you are signing, are waiving the right to bring any type of action, whether in court or otherwise, to recover compensation or obtain any other remedy for any personal injuries, damages to property, any accident or incident of any type, or death, arising out of or related to your use of CrossFit 133, Project 15 Fitness LLC, CrossFit Kids, its facilities, grounds, exercise areas, classes, equipment, whether the use is supervised or unsupervised. While Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids offers these activities in a controlled environment, there is still an assumed risk of injury to persons using Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids. In agreeing to this Waiver Agreement, I hereby acknowledge, understand, and agree on my behalf, and upon behalf of the person for whom I am signing, that the use of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids, its facilities, equipment, climbing walls, classes and/or participating in activities sponsored by Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids have inherent risks. These risks include, but are not limited to, any injury of damage resulting from: Negligence of employees, volunteer assistants, independent contractors of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids or Dennis and Stacey Floyd. Negligent misuse of the facility, climbing walls, or equipment of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids; falling off or impacting against the climbing walls, impact surface, floors, or anything else; rope abrasion, entanglement or other activities occurring on the premises; cuts or abrasions resulting from any cause whatsoever; failure of the climbing walls or equipment, whether inside or outside; personal health problems, whether mental or physical; negligence of other climbers, visitors, or observers or persons who may be present in or around the climbing area or facility; and/or negligence or lack of adequate training of any person(s) who seek to assist with medical or other help either before or after any injury or damage may occur.CrossFit 133, Project 15 Fitness LLC,

CROSSFIT KIDS AGREEMENT AND RELEASE OF LIABILITY

1. In consideration of being allowed to participate in the activities and programs of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids and to use its facilities, equipment and machinery in addition to the payment of any fee or charge, I, for myself, my heirs and assigns, hereby waive, release, and forever discharge Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids, Dennis and Stacey Floyd, and their officers, agents, employees, representatives, executors and all others from any and all, responsibilities or liability from injuries or damages resulting from my participation in any activities or my use of equipment, classes, climbing walls or machinery in the above mentioned activities. I do hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids or the use of any  equipment at Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids.

2. I understand and am aware that, fitness, and climbing including the use of the equipment, are all potentially hazardous activities. I also understand that fitness activities involve a risk of injury or even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I hereby to expressly assume and accept any and all risks of injury or death. 

3. I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation or use of equipment, or machinery except as herein stated. I acknowledge that I have either had a physical examination and been given my physician’s permission to participate, or that I have decided to participate, in the activity of, fitness, and climbing and the use of the equipment, climbing wall and machinery without the approval of my physician and do hereby assume all responsibility for my participation and activities, and utilization of equipment and machinery in my activities. 

Today's Date: December 15, 2018

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
In consideration of having Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids allow my child, who is under the age of 18 to participate in the activities and programs of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids, including but not limited to Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids, Climbing and use of any equipment, I hereby for my child’s heirs, executors, administrators, and or assigns, waive and release any and all rights and claims of any nature my child may have against Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids ,Dennis and Stacey Floyd, Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids, its officers, employees, agents, chapters, assignees, licensees, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns for and against any and all injuries or damages of any nature my child may suffer while taking part in any activities connected with Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids. This release and consent shall be binding upon my child’s heirs, executors, administrators, and/or assigns.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of Project 15 Fitness LLC, CrossFit 133, and CrossFit Kids promotional material, publications and web site,and waive any rights of compensation or ownership thereto. Last names of minors will not be given or posted on the web site.*
No
Yes
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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