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All parents utilising the child minding areas and facilities at Crossfit Brisbane are required to read, understand and agree to the following terms and conditions.

1. I understand that my child remains at all times the responsibility of myself as the parent or  guardian whist at CrossFit Brisbane. If called upon to care for or supervise my child, I must go immediately do so. 

2. It is my responsibility as the parent or guardian to ensure that my child is equipped with the necessities before coming to CrossFit Brisbane (toilet, water bottle etc) No food is permitted on the gym floor or waiting areas.

3. I understand that my child is unable to stay at CrossFit Brisbane if deemed to be sick or contagious. This is at the discretion of Management at CrossFit Brisbane. The state of health must be declared on arrival by myself as the parent/guardian. 

4. It is at the discretion of Management to allow a child to stay at CrossFit Brisbane. 

5. Under no circumstances may a parent/guardian leave the premises (with the exception of the WOD) while their child is at CrossFit Brisbane.

6. Under no circumstances is my child to go onto the gym floor when a class is on.

7. I understand that children play at their own risk. CrossFit Brisbane assumes no responsibility for loss or injury.

8. I indemnify CrossFit Brisbane against any claim relating to personal loss of belongings or damage arising out of personal injury to my child from any cause including negligence.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Language Spoken at home

Allergies and/or Health issues *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Third Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Fourth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Fifth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Sixth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Seventh Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Eighth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Ninth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
Tenth Participant's Name

First Name*

Middle Name

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

Language Spoken at home

Allergies and/or Health issues *
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
A signed copy of this waiver will be sent to the email address you provide.
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Language Spoken at home

Allergies and/or Health issues *
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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