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Waiver for participation at The Barn

RELEASE AND WAIVER AGREEMENT

I wish to participate in the wrestling practices, instruction, strength and condition training and other activities (the “Activity”) as offered by Barn Burners Wrestling Club, LLC (“BBWC”). Because of the risks associated with wrestling, athletic training and the Activity, I have read and agree to the following Release and Waiver Agreement (“Agreement”):

1. Assumption of Risk. I understand that participating in the Activity entails risks of injury, including, without limitation, physical injury, disfigurement, paralysis, blood loss, muscle function or other injuries, including death (“Injury”). I am aware of the risk of Injury and am knowingly and voluntarily accepting the risk that such Injury may occur as a result of me participating in the Activity or otherwise being on the premises.

2. Warranty of Physical Fitness. I represent and warrant that I am physically fit and in a condition that will allow me to participate fully in the Activity. I am covered by medical insurance that covers me for Injury that may occur while participating in the Activity. BBWC will not make any investigation into my physical fitness or ability to participate in the Activity, and is fully relying on my representations of my physical condition and insurance set forth herein.

3. Release/Waiver of Claims. On behalf of myself and my heirs representatives and/or assigns, I hereby fully and completely release BBWC, its members, directors, officers, coaches, and employees, and the landlord/owner of the facilities at which the Activity occurs, from any and all claims, actions, causes of action, suits, and/or damages (including, without limitation, claims or loss caused by the negligent act or omission of BBWC or the landlord/owner, any instructions offered/withheld or the condition of the premises or equipment) related to any Activity. If any portion of this Release and Waiver is held invalid for any reason, the remainder shall not be affected and shall continue in full legal force and effect.

4. Emergency Medical Treatment. I grant BBWC permission to authorize emergency medical treatment as it deems appropriate and agree that such action shall be subject to the terms of this Agreement. I am solely responsible for all costs related to such medical treatment, medical transportation and/or evacuation.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE AND WAIVER AGREEMENT AND FULLY UNDERSTAND THAT I MAY BE GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS DOCUMENT VOLUNTARILY.

Parent or guardian must sign if applicant is UNDER 18.

RELEASE AND WAIVER AGREEMENT

I wish to participate in the wrestling practices, instruction, strength and condition training and other activities (the “Activity”) as offered by Black Knight Wrestling Club. Because of the risks associated with wrestling, athletic training and the Activity, I have read and agree to the following Release and Waiver Agreement (“Agreement”): 1. ​Assumption of Risk​. I understand that participating in the Activity entails risks of injury, including, without limitation, physical injury, disfigurement, paralysis, blood loss, muscle function or other injuries, including death (“Injury”). I am aware of the risk of Injury and am knowingly and voluntarily accepting the risk that such Injury may occur as a result of me participating in the Activity or otherwise being on the premises.

2. ​Warranty of Physical Fitness. ​I represent and warrant that I am physically fit and in a condition that will allow me to participate fully in the Activity. I am covered by medical insurance that covers me for Injury that may occur while participating in the Activity. Black Knight Wrestling Club will not make any investigation into my physical fitness or ability to participate in the Activity, and is fully relying on my representations of my physical condition and insurance set forth herein.

3. ​Release/Waiver of Claims.​ On behalf of myself and my heirs representatives and/or assigns, I hereby fully and completely release Black Knight Wrestling Club, its members, directors, officers, coaches, and employees, and the landlord/owner of the facilities at which the Activity occurs, from any and all claims, actions, causes of action, suits, and/or damages (including, without limitation, claims or loss caused by the negligent act or omission of Black Knight Wrestling Club or the landlord/owner, any instructions offered/withheld or the condition of the premises or equipment) related to any Activity. If any portion of this Release and Waiver is held invalid for any reason, the remainder shall not be affected and shall continue in full legal force and effect.

4. Emergency Medical Treatment. I grant Black Knight Wrestling Club permission to authorize emergency medical treatment as it deems appropriate and agree that such action shall be subject to the terms of this Agreement. I am solely responsible for all costs related to such medical treatment, medical transportation and/or evacuation.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE AND WAIVER AGREEMENT AND FULLY UNDERSTAND THAT I MAY BE GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS DOCUMENT VOLUNTARILY. Parent or guardian must sign if applicant is UNDER 18.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

Barn Burners Wrestling Club and the Black Knight Wrestling Club (“the Clubs”) have put in place preventative measures to reduce the spread of COVID-19; however, the Clubs cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Clubs could increase your risk and your child(ren)’s risk of contracting COVID-19. The sport of wrestling involves direct human contact which may greatly increase your chance and risk of contracting COVID- 19 along with any other virus and/or infection.

By signing this agreement, I acknowledge the contagious nature of COVID- 19/viruses/infections and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19/viruses/infections by attending the Clubs and that such exposure or infection may result in personal injury, illness, permanent disability, and death to my child, me or anyone else that may contract the virus. I understand that the risk of becoming exposed to or infected by COVID-19/viruses/infections at the Clubs may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Clubs’ employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Clubs or participation in Clubs programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Clubs, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Clubs, its employees, agents, and representatives, whether a COVID- 19/viruses/infections infection occurs before, during, or after participation in any Clubs program.

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle 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 and news by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy 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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 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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