INFORMED CONSENT AND ASSUMPTION OF RISK
(A) I agree to participate in one or more physical fitness program(s)/class(es) sponsored by CrossFit Providence LLC (hereinafter “CFP”), which may include, but not necessarily be limited to CrossFit Training. CFP made me fully aware that the fitness programs/classes which CFP 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 programs/classes 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 am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s).
(B) I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in CFP 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 herby 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 CFP. CFP informed me that there exists the possibility of adverse physical changes during an exercise program and I fully understand the same. CFP 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 CFP fitness programs/classes.
(C) 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 CFP, and with my full understanding of all of the above, I hereby waive, release, remise and discharge CFP 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 CFP fitness programs/classes, 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 CFP 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.
(D) INDEMNIFICATION: I recognize that there is risk involved in the types of activities offered by CFP. 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 and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CFP, 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 CFP.
(E) Use of picture(s)/film/likeness: I agree to allow CFPts agents, officers, principals, employees and volunteers to use the 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 CFP of this in writing.
(F) I agree to not use any of CFP’s facilities, services or equipment in such a way as to endanger the health or safety of themselves or others. Members shall be responsible for any property damage or personal injury caused by them, their family, or their guests. Members agree not to violate any laws.
(G) Members and members’ guests should seek instruction from CFP personnel in the use of all equipment, including but not limited to fitness machines, free-weights, Olympic weights, pull-up stations, rings, ropes, boxes, medicine balls, parallettes and sledgehammers, and before using any of CFP’s facilities, services or equipment. If I fail to ask for instructions as to how to use the equipment, I assume the risk of injury associated with the misuse of such equipment.
(H) I have been informed and acknowledge that CFP has made no claims as to medical results that can or may be obtained through use of CFP’s facilities, equipment or services. CFP does not have the training, authority or expertise to provide medical treatment or related advice to members.
(I) CFP shall not be liable for the disappearance, loss or theft of, or damage to personal property, including money, negotiable securities, or jewelry. In no event shall any of CFP’s liability for disappearance, loss, theft, or damage thereof exceed the lesser of the actual value or $100.
(J) By signing this agreement, each member represents that he/she (i) has no psychiatric, medical or physical condition or history which would prevent him/her from using all or any of CFP’s facilities, equipment and/or services. Members are instructed not to act on the advice given by any employee until such advice has been verified with a licensed professional or their own physician.
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.