I know of no physical or mental conditions which I, or my Doctor feel could be aggravated by my using the equipment and facilities or, participating in activities sponsored by this club. I agree to advise CrossFit Petroglyph in writing if any of the above information changes of if my Doctor advises me to stop, reduce or otherwise adjust my exercise regimen at the club. I will advise CrossFit Petroglyph immediately if I injure myself in anyway on club property. The information I have given on this form is, to the best of my knowledge, complete and accurate. I am aware that there are significant risks involved in all aspects of physical training. I understand that the reaction of the heart, lungs and vascular system to exercise cannot always be predicted with accuracy. I understand that there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart rate; chest, arm or leg discomfort; transient light-headedness or exertional rhabdomyolysis. I should look for signs of excessive soreness, darkened urine, and pain in the kidney areas days following a particularly intense workout. While this type of injury is relatively rare, it can occur due to a number of factors, including (but not limited to) genetic predisposition or dehydration, that may be beyond the control of my trainer, or other people around me, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in CrossFit Petroglyph programs/classes and accept full responsibility for any injury or death that may result from participation in any activity, class or physical fitness program. 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 CrossFit Petroglyph. With my full understanding of the above information, I agree to assume any and all risk associated with my participation in CrossFit Petroglyph programs/classes. By signing this document, I acknowledge that I have voluntarily chosen to participate in a program of progressive, physical exercise. By signing this document, I acknowledge being informed of the strenuous nature of the program and the potential for unusual, but possible, physiological results including, but not limited to, abnormal blood pressure, rhabdomyolysis, fainting, heart attack, or death. By signing this document, I assume all risk for my health and well-being and hold CrossFit Petroglyph, as well as it owners, employees, and other authorized agents including independent contractors, harmless there from. I understand that questions about exercise procedure and recommendations are encouraged and welcome.
Waiver and Release: I fully understand that my personal exercise program may be strenuous and I choose to participate voluntarily. I accept all responsibility for my health and any results, injury or mishaps that my affect my wellbeing or health in any way. I waive any claims, demands, causes of action or any claims for relief whatsoever against, and release CrossFit Petroglyph (as well as any of its owners, employee, or other authorized agents, including independent contractors) from any and all liability, claims and/or causes of action that I may have for injuries or other damages, arising out of participation in CrossFit Petroglyph activities, including, but not limited to the personal training/ nutritional programs and programs/classes.
Photo/Video Release: I hereby grant CrossFit Petroglyph permission to use my photograph/video image in any and other publications for CrossFit or CrossFit Petroglyph, including website entries, without payment or any other consideration in perpetuity. I hereby authorize CrossFit Petroglyph to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video images. I hereby hold harmless and release and forever discharge CrossFit Petroglyph from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate may have by reason of this authorization.
Indemnification: I recognize that there is risk involved in the types of activities offered by CrossFit Petroglyph. Therefore, I accept financial responsibility for any injury that I may cause either to myself 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 and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit Petroglyph, their principals, 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 CrossFit Petroglyph. 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 anmed 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 have carefully read this Agreement and fully understand its contents. I am aware that this is a release and waiver of liability and sign it knowingly, voluntarily, and of my own free will.
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