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INFORMED CONSENT/ASSUMPTION OF RISK
I agree to participate in one or more physical fitness program(s)/class(es) sponsored by CrossFit Untouchable, LLC., which may include, but not necessarily be limited to, CrossFit Training, and/or training of any kind by any affiliate, subsidiary or partnership of CrossFit Untouchable, LLC and/or Jacob Tullos (hereinafter collectively referred to as CrossFit Untouchable).CrossFit Untouchable made me fully aware that the fitness programs/classes which CrossFit Untouchable offers and in which I desire to participate are of a nature and kind that are extremely strenuous and can/may push me to the limits of my physical abilities.I the undersigned recognize and understand that the programs/classes are not without varying degrees of risk which may include, but are not 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 a medical condition, whether known or unknown by me.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 any and all risks that I am exposing myself to as a result of my participation in CrossFit Untouchable programs/classes and accept full responsibility for any injury or death that may result from participation in any activity, class or physical fitness program.I herby 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 Untouchable. CrossFit Untouchable informed me that there exists the possibility of adverse physical changes during an exercise program, and I fully understand the same. CrossFit Untouchable informed me that these changes could include abnormal blood pressure, fainting, disorder of heart rhythm, stroke, and in very rare instances, heart attack or even death, and I fully understand the same.With my full understanding of the above information, I agree to assume any and all risk associated with my participation in CrossFit Untouchable fitness programs/classes.
All memberships and training sessions are non-refundable, non-exchangeable, and non-transferrable
We will only discuss membership cancellations and suspensions with the person named in our contract. We will not discuss account information with parents, guardians, spouses, or anyone except the contract holder unless there is an extreme circumstance (such as a catastrophic injury to the contract holder or death).
Other than members starting in On-Ramp or members experienced in Crossfit joining our facility in the middle of a month (where payment is due on your first day), all memberships will be drafted on 1st of the month. Even if your first month was charged on a different day, each additional month will continue to draft on the 1st of each month until the member suspends or cancels their membership WITH A 30 DAY ADVANCE NOTICE by filling out a cancellation form.
We reserve the right to cancel or reschedule classes and training sessions at any time to accommodate holidays, special events, weather conditions, or whims of the Owners. No refunds or credit will be granted due to schedule changes.
We don't think this will happen much, but just in case, we reserve the right to:
1)Refuse you entry to class if you turn up more than 5 minutes late.
2) Kick you out of class if you are a pain in the glutes.
3)Terminate your membership or training sessions at any time if you are a serial pain in the glutes*. Should it come to this, we will refund you the pro-rated balance on your membership or training sessions.
All memberships are subject to the following rules and limitations:
1) You must register and sign in to every class you attend.
2) If you are unable to sign into class, you must alert our staff immediately so that your issues may be resolved.
3) The scheduled class has priority on the space. If you're here for "extra" work, be mindful of the equipment, time, and space you'll need so that it will not interfere with a scheduled class.
4) You should review, understand, and adhere to the House Rules.
5)Participation in group class is at the sole discretion of the Be Epic Athletics/CrossFit Untouchable coaching staff. If the staff has concerns about your ability to safely participate in group class, you may be required to repeat our On-Ramp program at an additional cost.
: 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 the activities made available by CrossFit Untouchable, and with my full understanding of all of the above, I hereby waive, release, remise and discharge CrossFit Untouchable and its agents, officers, principals and employees and volunteers, of any and all liability, claims, demands, actions or rights of action, or damages of any kind related to, arising from, or in any way connected with, my participation in CrossFit Untouchable fitness programs/classes, including those allegedly attributed to the negligentacts 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 CrossFit Untouchable 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.
: I recognize that there is risk involved in the types of activities offered by CrossFit Untouchable. 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/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, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit Untouchable, 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 act or omission while participating in activities offered by CrossFit Untouchable.
Use of picture(s)/film/likeness:
I agree to allow CrossFit Untouchable, its agents, officers, principals, employees and volunteers the a picture(s), film and/or likeness of me for advertising purposes.In the event I choose not to allow the use of the same for said purpose, I agree that I must inform CrossFit Untouchable of this in writing.
I have fully
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
this form I am
valuable legal rights.
Please answer the following questions:
How did you hear about us?
Any additional information the coach needs to know about?
Do you have High Blood Pressure?
Have you ever experienced shortness of breath or chest pains?
Have you been cleared by your doctor to participate in an exercise program?
Any injuries, surgeries, etc. that you think we should know about or may limit your ability to exercise?
By clicking this checkbox you agree to online signature signing of this waiver
I consent to conduct electronic business
Member/Adult Signuture (Must be over 18 to sign)
Clear Member Signature
You will be immediately charged $20*
I understand this charge and understand that there are no refunds.
Thank you for joining the CrossFit Untouchable Community