I ______________________________, agree to participate in physical training sessions instructed by CrossFit certified trainers and/or trainers
affiliated with Grand Trunk CrossFit. I am fully aware these fitness sessions are of a nature and kind that are extremely strenuous and may push me to
the limits of my physical abilities. I recognize and understand these training sessions are not without varying degrees of risk, which may include, but
are not limited to the following: Injury to the musculoskeletal and/or cardio respiratory systems, which can result in serious injury or death, injury or
death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of
equipment, or injury or death due to a medical condition, whether known or unknown by me. I willingly assume full responsibility for any and all risks
that I am exposing myself to as a result of my participation in this CrossFit training program and accept full responsibility for any injury or death that
may result from my participation.
I hereby certify that I know of no medical problems that would increase my risk of illness and injury as a result of participation in a fitness program
designed by Grand Trunk CrossFit. I understand the possibility of adverse physical changes during an exercise program exists, and could include
abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instances, heart attack or even death. I understand that certain
prescribed medications may exacerbate these physiological changes and create an even greater risk of physical damage or death. With my full
understanding of the above information, I agree to assume any and all risks associated with my participation in this CrossFit Fitness Program.
RELEASE
In full consideration of the above mentioned risks and hazards and in full consideration of the fact that I am willingly and voluntarily participating in the
activities made available by Grand Trunk CrossFit, and with my full understanding of all of the above, I hereby waive, release, remise and discharge
Brooklyn Netherton, Diana Netherton, Grand Trunk CrossFit, its agents, partners, employees and volunteers, of any and all liability, claims, demands,
action or rights of actions, or damages of any kind related to, arising from, or in any way connected with, my participation in the CrossFit program.
This agreement shall be binding upon successors, my representatives, heirs, executers, assigns, transferees, or me. If any portion of this agreement is
held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.
If I am signing on behalf of a minor child, I also give permission to administer the necessary first aid, and in case of serious illness or injury, I give
permission to call for medical and or surgical care for the child and to transport the child to medical facility deemed necessary.
Indemnification: I recognize there is risk involved in the types of activities offered by CrossFit. Therefore, I accept financial responsibility for any injury
that I or the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or
anyone acting on their behalf, be required to incur attorney’s fees costs to enforce this agreement, I agree to reimburse them for such fees and costs.
I further agree to indemnify and hold harmless Brooklyn Netherton, Diana Netherton, Grand Trunk CrossFit, their partners, agents, employees, and
volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or
omission while participating in activities offered by Grand Trunk CrossFit. I have fully read and fully understand the foregoing assumption of risk, and
release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.
I may, on occasion, be photographed during training at Grand Trunk CrossFit their partners, agents, employees, and volunteers. The undersigned
hereby consents to the use of these photographs, without compensation, on the Grand Trunk CrossFit web site and/or in any editorial or promotional
material, including Facebook, produced and/or published by Grand Trunk CrossFit.
