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LIABILITY WAIVER AND RELEASE

James Townsend/Elite Iron Sports Performance

I hereby acknowledge that the personal training for which I am registering is a strenuous activity which is beyond the capability of some people, and may cause minor, severe and/or permanent injuries or death to those people that are not in sufficient physical fitness, training and/or experience.

I Agree

I have made my own determination as to whether or not I am able to safely participate in such training. I recognize that James Townsend and Elite Iron have not evaluated my ability to participate in such training. 

I Agree

I also recognize that any advice dispensed through James Townsend or Elite Iron may not be appropriate for me, and it is my responsibility to make this determination.

I Agree

I acknowledge that personal training is an extreme test of a person’s physical and mental limits and carries with it, regardless of physical fitness or experience, the potential for death, serious injury and property loss. I hereby assume the risks of participating in such training.

I Agree

I certify that my level of physical fitness is appropriate to participate in the personal training which I am voluntarily undertaking.

I Agree

I certify that I have not been advised against participation in such activity by a qualified health care professional.

I Agree

I, for myself, my past, present and future agents, attorneys, representatives, predecessors, successors, assigns, heirs and executors, do hereby waive, release and discharge EI/James Townsend, its past, present and future owners, directors, officers, employees, agents, representatives, contractors, attorneys, any participants in James Townsend/EI personal training other than myself, parents, subsidiaries, predecessors, successors, affiliates, assigns, sponsors, any event for which this training is geared or based, and any organizer, sponsor, speaker, volunteer, city, town, village or other municipality or governmental entity associated with such event (the Elite Iron  parties") from any and all matter of liability, claims for damages, causes of action, suits, proceedings, compensation, attorneys’ fees, costs and expenses of suits, claims and demands whatsoever, which may arise in the future from my participation in personal training through James Townsend, including, but not limited to any and all claims, losses or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, theft or damage of any kind, including economic losses, which may in the future arise out of or relate to my participation in or traveling to and from personal training through Elite Iron/JamesTownsend

I Agree

I AGREE NOT TO SUE Elite Iron/JamesTownsend for any and all claims made or liabilities assessed against them as discharged herein.

I Agree

I INDEMNIFY AND HOLD HARMLESS James Townsend/Elite Iron from any and all claims made or liabilities assessed against them as a result of (i) my actions or inactions (ii) the actions, inactions or negligence of others including those parties hereby indemnified (iii) the conditions of the facilities, equipment or areas where the event or activity is being conducted and (iv) any other harm caused by an occurrence related to personal training through GATA/Elite Iron.

I Agree

Today's Date: October 20, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Check to receive information, news, and discounts by e-mail.
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*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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