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Legal Documents

CrossFit Cheddar Rising Limited - Waiver & Release of Liability

Waiver and Release of Liability

Express assumption of risk: I, the undersigned, 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, injury or death due to improper use or failure of equipment. Injury may also result simply from the fact of physical training itself. By its very nature, physical training seeks to have me push beyond my physical and mental limits in order to produce a physical adaptation by my body. This requires feedback from me to my trainer regarding what is happening with my body. Excessive work can result (in rare cases) 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 rare, it can occur due to a number of factors, including (but not limited to) genetic predisposition, medication, or other factors that 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 CrossFit Cheddar Rising.

I, the undersigned acknowledge that I have no physical condition, illness, or impairment that I know of that will endanger myself or others.

Release:
In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at CrossFit Cheddar Rising, I, the undersigned hereby release CrossFit, Inc., its officers and directors, and CrossFit Cheddar Rising, 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 CrossFit Cheddar Rising 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.

Indemnification:
The participant recognizes that there is risk involved in the types of activities offered by CrossFit Cheddar Rising. Therefore the participant accepts financial responsibility for any injury that 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, Inc. and CrossFit Cheddar Rising, 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 Cheddar Rising.

Photo/Video Release: I hereby grant CrossFit Cheddar Rising permission to use my photograph/video image in any and all publications for CrossFit, Inc. or CrossFit Cheddar Rising, including on their websites or publications, without payment or any other consideration in perpetuity.

You can opt out of this. Please speak to CrossFit staff if you do not want photographs/videos of you used.

I hereby authorize CrossFit Cheddar Rising 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.

I hereby hold harmless and release and forever discharge CrossFit Cheddar Rising 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 release, 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.

Physical Activity Readiness Questionnaire (PAR-Q)
On the following page, you will be required to complete a health questionnaire (PAR-Q). The PAR-Q is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life.

For most people, physical activity should not pose any problems or hazard. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Common sense is your best guide in answering these few questions. Please read the carefully and check YES or NO opposite the question if it applies to you. If yes, please explain.

If you answer NO to all questions, it gives a general indication that you may participate in physical and aerobic fitness activities. The fact that you answer NO to the following questions, is no guarantee that you will have a normal response to exercise. If you answer yes to any of the following questions, then you may need written permission from a GP before participating in physical and aerobic fitness activities.

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Waiver must be completed before purchase of membership

CrossFit Cheddar Rising Limited - Physical Activity Readines Questionnaire (PAR-Q)

Customers submit this form again the first time they make an applicable registration or purchase more than one year after their last submission.

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Has your doctor ever said you have heart trouble? If yes, please state:

Yes

Do you frequently have pains in your heart and chest? If yes, please state:

Yes

Has a doctor ever said your blood pressure was too high? If yes, please state:

Yes

Do you often feel faint or have spells of dizziness? If yes, please state:

Yes

Have you ever suffered from a bone or joint problem? If yes, please state:

Yes

Are you or have you been pregnant in the last 6 months?

Yes

Do you suffer from any problems of the lower back, i.e., chronic pain, or numbness? If yes, please state:

Yes

Are you currently taking any medications? If Yes, please specify.

Yes

Do you currently have a disability or a communicable disease? If yes, please state:

Yes

Please complete if you have answered yes to any of the above

PAR-Q must be completed before purchase of membership

CrossFit Cheddar Rising Limited - Waiver & Release of Liability- Children and Dependents

I understand that my child's participation in exercise programmes, classes or events and any related activity conducted by staff at CrossFit Cheddar Rising, is voluntary and at their own risk. I am aware that exercise can be physically stressful and, in certain instances, can even result in injury or cause death.

The levels of exercise that will be performed will be at my child's own pace, based upon their cardio-respiratory (heart & lung) fitness, muscular strength and endurance. If my child has high blood pressure, diabetes, a heart condition, an existing injury, recent surgery or if they are taking any prescribed medications that could affect their response to exercise or these conditions develop/medications change after completion of this form while my child is participating in classes I will inform the coach immediately.

I understand that if my child fails to behave in a manner that is polite and social, he or she could be suspended from that particular activity. Kids and teens class participants agree:

• To arrive on time
• To stay within the gym and in the eyeline of a coach at all times- not going outside unless instructed to for e.g. running
• To only touch equipment when instructed to, including bars and rings
• To listen to the coach and follow instructions given
• To complete the workout as per the rules
• To show appropriate behaviour at all times: be polite, be nice, and be kind
• To take part for your own enjoyment and benefit, not just to please parents or coaches
• That taking part is voluntary - anything you don't want to do, just say and we can give you something else, or sit something out
• That it is not a competition except against yourself

CrossFit Cheddar Rising or individual coaches will not be liable for any injuries or damage arising out of participation or use of facilities/equipment to the undersigned. It is agreed that CrossFit Cheddar Rising or its coaches shall not be responsible or liable to the undersigned for articles lost or stolen whilst making use of the facilities/partaking in exercise sessions. I acknowledge that I have read this document in its entirety and understand the above.

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Child's name

I accept the above terms

CrossFit Cheddar Rising Limited - Physical Activity Readiness Questionnaire- Children and dependents

Please complete this form on behalf of your child/dependent.

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Has your child ever been diagnosed with a heart condition?

Yes

Has your child ever had chest pains during or after physical activity?

Yes

Does your child ever feel faint or have spells of dizziness?

Yes

Is your child being treated for high blood pressure?

Yes

Is your child being treated or receiving medication for any other condition?

Yes

Has your child had any broken bones in the past 6 months?

Yes

Does your child suffer from any joint or bone problems which exercise could aggravate?

Yes

Does your child have diabetes? If so which one?

Yes

Does your child suffer from asthma?

Yes

Does your child suffer from epilepsy?

Yes

Has your child had an operation within the past 6 months?

Yes

Is there any other reason why your child should not be taking part in physical activity?

Yes

If you have answered "Yes" to any of the above questions, please give details here

Parent/guardian declaration: 1: I confirm that the above details to the best of my knowledge are correct at this point in time. 2. If there are any changes in my child’s condition, I will report it immediately to the coach. 3. I agree that my child will abide by the rules of CrossFit Cheddar Rising and follow instructions of the staff at all times.