Youth Waiver, Release and Parental Consent

Bradford Fitness LLC · 5420 Philadelphia Street, Suite A, Chino, CA 91710

1. The activities. Bradford Fitness LLC provides strength and conditioning instruction to youth athletes. The activities include resistance and strength training, sprinting, jumping, plyometrics, change of direction work, and conditioning, using free weights, barbells, medicine balls and similar equipment, at our Chino facility and at other locations including school campuses. These activities carry inherent risks that cannot be eliminated no matter how much care is taken.

2. Express assumption of risk. On behalf of myself and my athlete, I assume all risks of participation, whether known or unknown. These include, but are not limited to: muscle strains, sprains and tears; cuts and bruises; heat illness and overuse injury; dislocations and fractures; dental, eye and head injury including concussion; and, rarely, catastrophic injury, permanent disability, paralysis or death. I understand and agree that these risks include risks arising from the ordinary negligence of Bradford Fitness LLC, its owners, employees and instructors.

3. RELEASE AND WAIVER OF LIABILITY — PLEASE READ CAREFULLY. THIS SECTION AFFECTS YOUR LEGAL RIGHTS.

In consideration of my athlete being permitted to participate, I release and forever discharge Bradford Fitness LLC, its owners, employees, instructors, agents and the owners or operators of any premises used, from any and all claims, demands or causes of action for injury, death, property damage or other loss caused by the ordinary negligence of Bradford Fitness LLC, to the fullest extent permitted by California law.

This release is given on behalf of myself, my athlete, and our heirs, assigns and personal representatives. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FOR ORDINARY NEGLIGENCE.

4. What this release does NOT waive. This release does not apply to, and I do not waive, any claim arising from the gross negligence, recklessness, or willful or intentional misconduct of Bradford Fitness LLC, or any liability that cannot lawfully be waived under California law. If any part of this agreement is held unenforceable, the remaining provisions stay in full force and effect.

5. Indemnification. To the fullest extent permitted by law, I agree to indemnify and hold harmless Bradford Fitness LLC from any claims, losses, liabilities and costs, including reasonable attorneys' fees, brought by or on behalf of my athlete arising out of participation — except to the extent caused by Bradford Fitness LLC's own gross negligence or willful misconduct.

6. Health representation and emergency medical authorization. I represent that my athlete is physically fit to participate and has no condition that would make participation unsafe, other than any condition I have disclosed on this form. If my athlete is injured or becomes ill and I cannot be reached, I authorize Bradford Fitness LLC to administer basic first aid and to summon emergency medical care. I accept financial responsibility for the cost of that care.

7. Concussion and cardiac protocol. Any athlete suspected of a concussion, head injury or fainting is removed from activity for the remainder of that day and may not return until a licensed health care provider gives written clearance, in accordance with California Health and Safety Code section 124235. A separate concussion and sudden cardiac arrest acknowledgment is required each year at bradfordfit.com/safety-acknowledgment.

8. Parental authority and consent. I certify that I am the parent or legal guardian of the athlete named on this form, that I have the authority to sign this agreement on their behalf, and that I consent to their participation.

9. Governing law and venue. This agreement is governed by the laws of the State of California. Any dispute will be venued in San Bernardino County, California. This agreement, together with the Bradford Fitness Rules and Regulations at bradfordfit.com/rules, is the entire agreement between us on its subject matter and may be amended only in writing.

I HAVE READ THIS ENTIRE AGREEMENT. I UNDERSTAND IT. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. I SIGN IT FREELY AND VOLUNTARILY, AND I HAVE RECEIVED A COPY.

May we use photographs and video of your athlete in Bradford Fitness promotional materials and social media?

Athlete's Name

First NameLast Name

Athlete's Date of Birth

Date

Date of your athlete's last physical

Date

Has a doctor ever told you that your athlete has a heart condition, or recommended that your athlete only do medically supervised physical activity?

Has your athlete had chest pain, during physical activity or at rest?

Does your athlete ever lose balance from dizziness, or lose consciousness?

Does your athlete have any of the following? Check all that apply.

If you answered yes to anything above, please explain. Also tell us anything else your instructor should know — allergies, asthma, concussion history, or current medication.

Insurance Provider:

Policy Number:

Primary Policy Holder Name:

Parent or Guardian's Name

First NameLast Name

Parent or Guardian's Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent or Guardian's Signature

If the athlete is 14 or older, please have them sign below as well. The parent or guardian signature above is what makes this agreement binding. The athlete's signature is optional, and confirms that the athlete has read the rules and safety sections and understands the risks described in this document. Bradford Fitness will not turn an athlete away if this line is left blank.

Athlete's Signature (age 14 and over) — optional

Youth Waiver, Release and Parental Consent

Athlete's Health Information

Medical insurance — optional