Athlete Waiver

INFORMED CONSENT/ASSUMPTION OF RISK

I agree to participate in one or more physical fitness test(s) during the Summer Jam Competition sponsored by CrossFit Higher Ground (CFHG), which may include, but not necessarily be limited to CrossFit Training, and/or training of any kind by any affiliate, subsidiary or partnership of CFHG has made me fully aware that the fitness test which CFHG 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. I the undersigned recognize and understand that the test 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, rhabdomyolysis, or injury or death due to a medical condition, whether known or unknown by me. 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 CFHG’s fitness test(s) and accept full responsibility for any injury or death that may result from participation in any fitness test. 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 test designed by CFHG. I have been informed that there exists the possibility of adverse physical changes during a physical fitness test, and I fully understand the same. CFHG informed me that these changes could include abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instances, heart attack or even death, and I fully understand the same. With my full understanding of the above information, I agree to assume any and all risk associated with my participation in all fitness test(s) programmed by CFHG during the Summer Jam Competition.

Kids Area Waiver of Liability: 
I willingly assume full responsibility for any and all risks that I am exposing my child or minor (under age 18) to as a result of bringing my child or children to CrossFit Higher Ground facilities and its events. I further accept full responsibility for any type of harm, injury or potential for death that may result from my child’s participation in any play activity or gym environment. I hereby certify that I know of no medical problems that would increase my child’s risk of illness and injury as a result of entry into CrossFit Higher Ground gym facilities.
CrossFit Higher Ground informed me that there is no supervision of children, other than that of the parent or legal guardian who is responsible for their own child and I fully understand the same. I am solely responsible for any and all items, potential food or liquids and other objects that come into contact with my child at CrossFit Higher Ground.
I agree without reservation that I must explain to my child the rules of the gym and that no children are allowed to play on the equipment at any time.
With my full understanding of the above information, I agree to assume any and all risk associated with bringing my minor, child or children along with me in my participation during the Summer Jam Competition hosted by CFHG.

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 CFHG, and with my full understanding of all of the above, I hereby waive, release, remise and discharge CFHG and its agents, officers, principals and employees and volunteers, of any and all liability, claims, demands, actions or rights of action, or damages of any kind related to, arising from, or in any way connected with, my participation in CFHG fitness test(s), including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. 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 full permission for any person connected with CFHG to administer first aid deemed necessary, 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 a medical facility deemed necessary for the well-being of the child.

Use of picture(s)/film/social media:
I agree to allow CFHG, its agents, officers, principals, employees and volunteers to take and use picture(s), film and/or likeness of me for advertising purposes. In the event I choose not to allow the use of the same for said purpose, I agree that I must inform CFHG of this in writing.

Rhabdomyolysis:
Among the potential risks of strenuous exercise is a rare but serious condition known as Rhabdomyolysis. Rhabdomyolysis is a medical disorder that harms the kidneys. The disease results from the toxicity of destroyed muscle cells. A pigment that contains Iron, called myoglobin that exists in skeletal muscle enters the bloodstream after the muscle suffers damage. The kidneys have difficulty filtering the myoglobin out of the bloodstream, because it blocks the structures within the kidney, which can result in serious kidney damage or kidney failure. Additionally, the dead skeletal muscle can cause large shifts in fluid from the bloodstream into the muscle, which reduces the relative fluid volume of the body and can lead to shock and reduced blood flow to the kidneys.

In Conclusion:
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.

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Respectfully,
CrossFit Higher Ground
Cell: 678-850-1953
Email: team@crossfithigherground.com