CBUS LIFTING CO., LLC. DBA CROSSFIT CLC, POWERLIFTING CLC, and OLYMPIC WEIGHTLIFTING CLC STRONGLY RECOMMENDS THAT YOU CLEAR YOUR PARTICIPATION IN ANY EXERCISE PROGRAM WITH YOUR PHYSICIAN. THE PROTOCOLS OF THIS PROGRAM WILL INVOLVE YOU IN RELATIVELY HIGH-INTENSITY WORKOUTS AND IT IS IMPORTANT YOU UNDERSTAND THE FOLLOWING:
You agree to participate in physical training sessions instructed by certified trainers Rachel Escolas, Brian Escolas, or trainers affiliated with CrossFit CLC, Powerlifting CLC, and Olympic Weightlifting CLC. I am fully aware these fitness sessions are of nature and kind that are extremely strenuous and will push me to the limits of my physical abilities.
I recognize and understand these training sessions are not without vary degrees of risk, which may include, but are limited to the following: injury to the musculoskeletal and/or cardiorespiratory 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 willingly assume full responsibility for any and all risk that I am exposing myself to as a result of my participation in this 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 CrossFit CLC, Powerlifting CLC, and Olympic Weightlifting CLC. 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, a disorder of heart rhythm, stroke, and in very rare instances, heart attack or even death. I understand that certain prescribed medications may 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 the fitness program.
In full consideration of the abovementioned risks and hazards and in full consideration of the fact that I am willing and voluntarily participating in the activities made available by CBUS Lifting Co., LLC and with my full understanding of all of the above. I hereby waive, release, and discharge Rachel Escolas, CBUS Lifting Co., LLC. it's agents, partners, employees, and volunteers, of any and all liability, claims, demands, actions or rights of actions, or damages of any kind related to, arising from, or in any way connected with my participation in any activities conducted and/or sponsored by CBUS Lifting Co., LLC.
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 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 a 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 CrossFit. Therefore, I accept financial responsibility for any injury that I or the participant may cause either to him/herself or to any participant due to his/her negligence. Should the abovementioned parties, or any acting on their behalf, be required to incur attorney fees and cost to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless Rachel Escolas, CBUS Lifting Co., LLC. dba CrossFit CLC, Powerlifting CLC, Olympic Weightlifting CLC, their partners, 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 CrossFit CLC, Powerlifting CLC, and Olympic Weightlifting CLC.
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.