I recognize and understand these training sessions are not without varying degrees of risk, which may include, but are 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 medical condition, whether known or unknown by me.
I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in this CrossFit training program and accept full responsibility for any injury or death that may result from my participation.
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 Phoebe CrossFit. I understand there exists the possibility of adverse physical changes during an exercise program. I fully understand that these changes could include abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instance, heart attack or even death. I understand that certain prescribed medications my exacerbate these physiological changes and create an even greater risk of physical damage or death. With my full understanding of the above information, I agree to assume any and all risks associated with my participation in this CrossFit Fitness Program.
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 activities made available by Phoebe CrossFit, and with my full understanding of all the above, I hereby waive, release remise, discharge and hold harmless, all certified Phoebe CrossFit Trainers, Phoebe CrossFit, HealthWorks, and Phoebe Putney Health System and all its subsidiaries, its agents, partners, employees, officers, trustees, insurers, and volunteers, of any and all liability, claims, demand, action or right of actions, or damages of any kind related to, arising from, or in any way connected with, my participation in the CrossFit conditioning program, including without limitation those based on death, bodily, property damage, whether or not caused by negligence or other fault of the parties being released. This agreement shall be binding upon me, my successors, representatives, heirs, executers, 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 permission to administer the necessary first aid, 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 medical facility deemed necessary for the well-being of the child.
Indemnification: I recognize there is risk involved in the types of activities offered by Phoebe CrossFit. 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/herself negligence. I further agree to indemnify and hold harmless all certified Phoebe CrossFit Trainers, Phoebe CrossFit, HealthWorks, and Phoebe Putney Health System and all its subsidiaries, its agents, partners, employees, officers, trustees, insurers, 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 omissions while participating in activities offered by Phoebe CrossFit.
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.