Crossfit Deer Park Group Training Policies And Liability Release (Page 2 of 6) in pdf

Release, Covenant Not to Sue, and Waiver

I, __________________________________, do hereby consent to participate in the CrossFit Deer Park exercise

program that will include strength, resistance, agility, endurance /or cardiovascular exercise. I have been informed

and understand that physical exercise has been associated with certain risks, including but not limited to

musculoskeletal injury, spinal injuries, abnormal blood pressure responses, and, in rare instances, heart attack or

death. Every effort will be made to minimize these risks. Any information that is obtained regarding my fitness level

and my progress will be treated as privileged and confidential and will not be released or revealed to any person

other than my physician without my expressed written consent. I have read and understand the foregoing consent to

participation in said program. I am aware that I may discontinue participation in the program at any time that I see

fit to do so. If at any time I have questions concerning the content, policies, or procedures regarding the training

program I will discuss these questions with Scott Anderson.

In addition, I agree to the following:

a) Assume all risk of injury and all risk of damage to or loss of property arising out of my participation in this

program.

b) Release, discharge, and waive any and all responsibility from CrossFit Deer Park, Scott Anderson, and those

individuals affiliated as trainers or staff of the camp from and against any liability of injury, including death, and for

damage to or loss of property which may be suffered by the undersigned arising out of, or in any way connected

with the participation in this program.

c) Indemnify and hold CrossFit Deer Park, Scott Anderson, and those individuals affiliated such as trainers or staff

from and against all liability, claims, demands, actions, loss, and damage arising out of my participation in said

group training program.

By signing this document, the undersigned hereby acknowledges that he/she has read the above carefully before

signing, and agrees to comply with all the above.

Signature: _________________________

Print Name: ________________________

Date: _____________________________

Signature of Parent/Guardian – one signature required if participant is 18 years old or younger:

Signature: _________________________

Print Name: ________________________

Date: _____________________________

Crossfit Deer Park Group Training Policies And Liability Release Page 2