CAREFULLY READ THE FOLLOWING VOLUNTARY RELEASE AND WAIVER OF LIABILITY
(“WAIVER”) BEFORE SIGNING
the undersigned person, request permission from Functional Integrated Fitness,
LLC D/B/A CrossFit Jenks (Hereinafter) , and all affiliated entities to
participate in a physical fitness competition
offered by CrossFit Jenks.
Acknowledgement and Acceptance of Risk
acknowledge that I have voluntarily chosen to participate in a physical fitness
competition, provided by CrossFit Jenks or its training staff which may include
but not necessarily be limited to CrossFit training. CrossFit Jenks has made me fully aware that
the events that CrossFit Jenks offers and in which I desire to participate are
of a nature and kind that are extremely strenuous and can/may push me to the
limits of my physical abilities.
assume full responsibility for any and all risks that I am exposing myself to
as a result of my participation in this competition and accept full
responsibility for any injury or death that may result from participation in
any activity included in the events. 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 the events of this competition as designed by CrossFit Jenks.
With my full understanding of the above information, I agree to assume any and
all risk associated with my participation in CrossFit Jenks competition.
By signing this
document, I acknowledge that I have voluntarily chosen to participate in a competition
of 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, rhabdomyolosis, fainting, heart attack, or death. By signing this
document, I assume all risk for my health and well-being and hold CrossFit
Jenks, as well as its owners, employees, volunteers, and other authorized
agents including independent contractors, harmless. I understand that questions
about exercise procedure and recommendations are encouraged and welcome.
Waiver and Release
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 may affect my well-being or health in any way.
I waive any claims, demands, causes of action or any claims for relief
whatsoever against, and release CrossFit Jenks (as well as any of its owners,
employees, volunteers, 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 Jenks activities, including, but not limited to the events of this
I hereby grant
CrossFit Jenks permission to use my photograph/video image in any and all publications
for CrossFit, Inc. or CrossFit Jenks, including web site entries, without
payment or any other consideration in perpetuity. I hereby authorize CrossFit
Jenks 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 Jenks from
all claims, demands, and causes of action which I, my heirs, representatives,
executors, administrators, or any other persons acting on my behalf of on
behalf of my estate which may have or may have by reason of this authorization.
that there is risk involved in the types of activities offered by CrossFit
Jenks. 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 Jenks, 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 Jenks.
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.
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.
Signature of legal guardian of
participant under the age of 18