Informed Consent, waiver and Acknowledgement I hereby give approval for my child’s participation in any and all activities prepared by CrossFit 1020 during CrossFit 1020 Kids FItness Camp. In exchange for the acceptance of said child’s candidacy by CrossFit 1020, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless CrossFit 1020, CrossFit Inc., Contegra Enterprises, LLC and Subsidiaries, or any of thier respected subsidiaries or any of their respective members, agents or employees (individually and collectively referred to as “CrossFit 1020”) from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against CrossFit 1020 including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization: As Parent and/or Guardian of the named child/athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to CrossFit 1020 and its affiliates, including Directors and Coaches to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on June 24-June 27 for CrossFIt 1020 Kids FItness Camp. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
I acknowledge having read and understood the provisions of this waiver/release and
agree to the terms of participation and state the information set forth herein is current and accurate.