Loading...

INFORMED CONSENT:

I declare that I intend to use some or all of the activities, facilities, programs and services (herein after called "Activities") offered by RYU Apparel Inc.

Iunderstand that different people have different capacities for participating in various Activities and for my choices to use or apply at my own risk, any portion of the instruction or guidance that I receive while participating in these Activities. I understand that the risk involved in undertaking any of the Activities is related to my own state of fitness, or health, and the awareness, care and skill with which I conduct myself in any of the Activities of RYU Apparel Inc. I also understand that I am free to withdraw from, reduce or modify my involvement in any of the Activities and I realize that I should do so on recognition of any signs of physical discomfort.

I further understand that the possible risks involved in the participating in these Activities may include muscle, tendon, ligament, bone and joint soreness; muscle, tendon and ligament strain, tear or rip; bruising, death; skin laceration; tears, cuts, or punctures; shortness of breath, dizziness, fainting, or unconsciousness; tightness in chest, bone breaks, discoloration, separations or fractures; fatigue; sweating; eye punctures; heart attack or stroke; aggravation of an existing or past injury; discomfort or problem with any other injury; discomfort or physical problems associated with physical activity, and many other forms of physical discomfort.

I understand just as with other types of physical activity, that there are potential risks in physical fitness and accept all responsibility and waive any legal recourse against RYU Apparel Inc, its directors, management, employees and agents from any claims resulting from the personal fitness program.

I declare that I have read, understand and agree to the contents of the INFORMED CONSENT AGREEMENT in its entirety and consent to taking all of the above noted risks by VOLUNTARILY PARTICIPATING in the Activities of RYU Apparel Inc. 

  August 22, 2019

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
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
Parent or Guardian's Email Address

Email*

Confirm Email*
Join our universe to stay in the loop on all community events going on at RYU
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*

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
Do you have any health concerns or prior injuries?*
No
Yes

If YES, please provide details:
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver