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This waiver includes everything that's needed to sign up for an Obstacle Fitness program.  We look forward to working with you!

I, being 18 years or older or guardian for minor, request to participate in programs at Obstacle Fitness and to receive instruction from the Obstacle Fitness staff and associates.  I understand that such participation and instruction require the performance of physical exercises by me or my child which necessarily involve inherent risks including, without limitation, risks related to the use of equipment, personal safety (including risk of minor, serious or mortal personal injury) and risks of property damage.  Neither my child nor myself are under compulsion by Obstacle Fitness, its officers, teachers, employees, agents, volunteers and associates (collectively, the "Releases") to participate in this program nor am I being paid to do so.  My child's and my interest is solely in the activities provided by Obstacle Fitness and his/her/my self-improvement and I/we willing accept the risk inherent in this pursuit.  Other than as set forth above, I hereby certify that I/my child is/are in good health with no condition, illness or abnormality that might subject me/the child to undue personal risk from engaging in the activities described above.  In the event of any emergency requiring medical care, Obstacle Fitness is hereby authorized to use its best efforts to obtain whatever medical treatment it deems necessary or appropriate under the circumstances.  In consideration of the opportunity for me and/or my child to use their equipment, I hereby for myself and/or my child forever release the Releasees from all liability for any and all damages and injuries suffered by me or my child in connection with said equipment.  By signing below I hereby acknowledge and agree that I have read this Acknowledgment and Assumption of Risk and that I am waiving substantial rights including my/my child's right to sue, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.  If any portion of this Acknowledgment and Assumption of Risk is held invalid, the undersigned agrees that the balance shall nevertheless continue in full force and effect.

I have read the above and agree.

I Agree

Date signed September 30, 2020 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Yes, please keep me posted on updates and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Name

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 of the terms of this document, as set forth above.


First Name *

Last Name *

Relationship *

Parent or Guardian's Date of Birth *
How did you hear about us?
How did you hear about Obstacle FItness? *
Referred by Friends/Family
Previously attended an Obstacle Fitness event
Web search
Other
Photo Release
Pictures will occasionally be taken for use on social media platforms (Facebook, Instagram, etc.) and other media (email communication, flyers, etc.). By choosing "Yes" you consent to your (or your child(ren)'s likeness, photo, video and/or voice being used on these occasions. I have read the above and agree.:*
Yes
No
COVID-19 Surcharge
I understand that there is an additional $10 enhanced Health and Safety fee that is added to the program costs to cover the costs of doing business during COVID-19. This fee covers items including but not limited to cleaning supplies, cleaning time by staff and required limited participant numbers. *
Yes I understand
Booked Start Time is Set-up time
I understand that the time I have booked reflects the time that Obstacle Fitness will show up at my house to setup the program. Setup typically takes around 45 minutes. *
Yes I understand
Final Payment Due Upon Obstacle Fitness Arrival
I understand that my remaining payment due will be paid to Obstacle Fitness upon arrival of Obstacle Fitness to my house. Payment can be sent via Paypal, check or cash. *
Yes I understand
Tell Us About Your Kids!
At Obstacle Fitness our goal is to create a program that kids of all skill levels and personalities will like. Tell us a little bit about your kids so we can help create the best experience. My kid(s) can be described as follows (select as many as apply): *
Shy around new people
Outgoing
Introverted
Loves being outside
Likes to play sports
Likes structure
Free spirit
Likes to try new things
Likes to read
Prefers being indoors
Competitive
Easy going

Anything else you'd add that you think would be helpful for us to know?
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*

Relationship*

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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