WELCOMING. EXCITING. EDUCATIONAL. Liability Waiver Please fill out the liability waiver form in its entirety. Name(Required) First Last Date of Birth(Required) Month Day Year Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code In Case of Emergency, please call(Required) Emergency Contact Phone(Required)Relation to emergency contact: (parent, friend, spouse)(Required) How did you hear about SACF? Legal InformationAnd now, the legal stuff. Please read this! It contains important educational and legal information for you. Waiver and Release of Liability Express assumption of risk: I, the undersigned Participant, am aware that there are significant risks involved in any physical training regimen. These risks include, but are not limited to: falls 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; or injury or death due to improper use or failure of equipment. Injury may result simply from the physical training itself. By its very nature, physical training seeks to have me push beyond my limits in order to produce a physical adaptation to my body. This requires feedback from me to my trainer regarding what is happening with my body. Excessive work can result in exertional rhabdomyolosis. I should look for signs of excessive soreness, darkened urine, and pain in the kidney areas in the days following a particularly intense workout. While this type of injury is relatively rare, it can occur due to a number of factors, including (but not limited to) genetic predisposition or dehydration, which are beyond the control of my trainer. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while training with San Angelo CrossFit, at any of their locations, on or off premises. I, the undersigned Participant, acknowledge that I have no physical impairments or illnesses that I know of that will endanger myself or others.Initials(Required) Release: In consideration for being allowed to participate in the exercises and activities at CrossFit and San Angelo CrossFit I, the undersigned Participant, hereby release CrossFit and San Angelo CrossFit, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. 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 full permission for any person connected with San Angelo CrossFit to administer first aid deemed necessary, 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. Pre-existing Condition: Participant understands and acknowledges that pre-existing physical conditions could be affected or aggravated by Participant’s participation in the exercises and activities conducted at San Angelo CrossFit ("SACF"). By participating in such exercise and activities Participant acknowledges that Participant may be endangered. Participant hereby represents to SACF that a medical doctor has cleared Participant for all physical activity and has approved my participation in the exercises and activities conducted at SACF. Participant acknowledges and agrees that SACF and its coaches, employees or agents shall not be held liable for any injuries that may occur as a result of my participation and I hereby release SACF and its coaches, employees, and agents from any such injuries. I am fully aware of, and understand the risks involved, with participation in the exercises and activities conducted at SACF and hereby assume the risk associated therewith. Indemnification: The Participant recognizes that there is risk involved in the types of activities offered by CrossFit and San Angelo CrossFit. Therefore the Participant accepts financial responsibility for any injury that the Participant may cause either to him/herself or to any other participant or third party due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, Participant agree to reimburse them for such fees and costs. Participant further agree to indemnify and hold harmless CrossFit and San Angelo CrossFit, their principals, 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 acts or omissions while participating in activities offered by CrossFit and/or San Angelo CrossFit. Photo/Video Release: Participant hereby grants San Angelo CrossFit permission to use my photograph/video image in any and all publications for CrossFit or San Angelo CrossFit, including web site entries, without payment or any other consideration in perpetuity. Participant hereby authorizes San Angelo CrossFit to edit, alter, copy, exhibit, publish or distribute all photos and images. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video images. Participant hereby holds harmless and releases and forever discharges San Angelo CrossFit from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of on behalf of my estate which may have or may have by reason of this authorization. I am competent to contract in my own name. I have read this Waiver and Release of Liability, and I fully understand the contents, meaning, and impact of this release. I have read and understood 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.Consent(Required) I agree to the terms above(Required)Full Name(Required) Date(Required) Month Day Year CAPTCHA TRY OUT OUR FACILITY Book a Free Intro! Take your first steps into a happy, healthy lifestyle. Book Now