Loading...

PARTICIPANT RELEASE, HOLD HARMLESS AND ASSUMPTION OF RISK

In consideration of being allowed to participate in and receive, whether individually or in a group, instruction and/or training by and/or to utilize facilities owned and/or operated by Clutch Performance, Incorporated, American Patriot Properties, LLC or their respective affiliates, agents, owners, officers, volunteers, participants, employees, contractors and all other persons or entities acting in any capacity on their behalf (collectively, the “Released Parties”), I hereby agree to release, indemnify, and discharge the Released Parties, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  1. I expressly accept and assume all risks as to participating in any activity conducted by any of the Released Parties or located at any facility owned and/or operated by any of the Released Parties. My participation is purely voluntary, and I elect to participate in spite of the risks, known and unknown.
  2. I ACKNOWLEDGE THAT PARTICIPATING IN PHYSICAL EXERCISE AND/OR TRAINING MAY CAUSE INJURY AND/OR DEATH AND/OR PROPERTY DAMAGE. I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, SICKNESS, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY OR OTHERWISE.
  3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless, the Released Parties, from any and all claims, demands, or causes of action, which are in any way connected with my participation in any activity or my use of any of the Released Parties’ equipment or facilities, including, but not limited to, any such claims which allege negligent acts or omissions of any of the Released Parties.
  4. Should any of the Released Parties or anyone acting on their behalf, be required to incur attorney fees and cost to enforce this Release, I agree to indemnify and hold them harmless for all such fees and costs.
  5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage to myself. I further certify that I am willing to assume the risk of any and all medical or physical conditions I may have. I acknowledge that any injuries that I sustain may be compounded by delayed or negligent emergency response or rescue operations of any of the Released Parties.
  6. In the event of any legal action between any of the Released Parties and myself as to any matter, I agree to venue and jurisdiction in the county of Madison and the state of Alabama, and I further agree that this Release shall be governed by the laws of the state of Alabama without regard to the conflict of law rules of that state.
  7. I agree that if any portion of this Release is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this Release, I acknowledge that if I or anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against any and all of the Released Parties on the basis of any claim from which I have released them herein. Furthermore, I agree to be bound by the code of conduct of the Released Parties, as such may change from time-to-time. Failure to comply with all codes of conduct of Released Parties may lead to your removal from the facility in the discretion of any of the Released Party. This Release applies to any activities on the date this Release is executed and any and all future activity or events.

I have had sufficient opportunity to read this entire Release. I have read and understood it, and I agree to be bound by the terms and conditions of this Release. Furthermore, this Release is intended to be a complete release of all claims, known or unknown, arising from my participation in any activities on the property of any of the Released Parties and the undersigned is voluntarily executing the same as such with full knowledge of such. This Release shall be binding on all of the undersigned’s agents, affiliates, representatives, executors, successors, parents, estate and assigns.

Today's Date: November 21, 2024 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
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*

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Sport/Trainer Selection
Please select trainer or sport:
Baseball (please list team/trainer below)
Basketball (please list team/trainer below)
Coach Crystal Harris/Kingdom Fitness
Coach Dallas Terrell/N2-SPRT
Coach Dontrais Dion Mathis
Softball (please list team/trainer below)

Team Name or Trainer (if not listed above)
In consideration of the Minor listed above, (“Minor”) being permitted by any of the Released Parties to participate in activities with and on and to use equipment and facilities of the Released Parties, I further agree to indemnify and hold harmless the Released Parties from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.


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 Age Acknowledgment*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!