MVMNTBOX CONSENT AND RELEASE FORM
Part 1 – Voluntary participation
This form serves to acknowledge that by signing-up your participation is completely voluntary, and you freely accept and fully assume all responsibility for all risks of physical activity and sport. This includes (but is not limited to) possibilities of personal injury, death, loss or damage to property and it may affect yourself or any other person, attributed to your participation in fitness activities.
Therefore, you and your heirs, next of kin, administrators and assigns agree:
(a) to waive all claims, known or unknown, that you have or may have in the future against MVMNT Functional Fitness Ltd (Trading as “MVMNT BOX” and hereinafter referred to as “MVMNT BOX”), including their owners, officers, directors, agents, employees, volunteers, business operators, independent contractors and site property owners or lessees.
(b) that MVMNT Box is not liable or responsible for any damage to, loss, or theft of your property.
(c) to release and forever discharge MVMNT BOX from all liability for any personal injury, death, property damage or loss resulting from your participation in fitness activities due to any cause, including (but not limited to) negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake in error of judgment of MVMNT BOX;
(d) to be liable for and to hold harmless and indemnify MVMNT BOX from all actions, proceedings, claims, damages, cost demands, including court costs on a solicitor and own client basis, and liabilities of any nature or kind arising out of or in any way associated with your participation in fitness activities.
Part 2 – Exertional Rhabdomyolysis (Rhabdo)
People new to the pace and intensity of Functional Fitness workouts may very rarely be at risk of EXERTIONAL RHABDOMYOLYSIS. This is a potentially lethal condition initiated by the kidneys in response to the presence of shed muscle-fibre debris and exhaust in the bloodstream due to intense exertion of the muscles.
Note that EXERTIONAL RHABDOMYOLYSIS CAN BE VERY DANGEROUS.
You are responsible for:
1. Understanding and heeding your own body’s limitations.
2. Setting your own level of exertion.
3. Not exceeding your body limitations, as only you can know what these are.
It is our goal and our priority to focus on your safety and understanding and learning or proper form and technique, as well as the skills that comprise our programme and workouts.
It is set upon yourself to understand and listen to your body and to restrain yourself from exerting yourself 100% of your maximum effort for at least your first eight (8) workouts with MVMNT BOX.
You may not participate in any activity with MVMNT BOX, without acknowledging, by way of signing this form, that you are aware of, understand and assume full responsibility for the risk of Exertional Rhabdomyolysis, that may result from exerting yourself at your maximum effort.
Therefore, by signing this form you acknowledge:
1. That you have read and understood the above Warning.
2. That you agree not to exercise at my maximum level of effort for at least eight (8) workouts with MVMNT BOX.
3. You have no medical reason such as heart or circulatory condition, injury, chest pain or extreme dizziness that would put you at risk while training at high intensity.
4. That you are solely responsible for using common sense in setting your own level of intensity and understand and take responsibility for all risk associated with exercise.
Part 3 – Acknowledgement
I, the undersigned, do hereby acknowledge:
1. My consent to perform any exercises prescribed by MVMNT BOX, which will contribute towards the goals I have set myself and in consultation with MVMNT BOX.
2. My understanding that there are potential risks associated with the exercises I am voluntarily engaging in, e.g.: light-headedness, fainting, abnormal blood pressure, chest discomfort, leg cramps, nausea, physical injury, or death, and that I wilfully assume responsibility for those risks.
3. My obligation to immediately inform MVMNT BOX and its coaches of any pain, discomfort, fatigue or any other symptoms that I may suffer before, during, and immediately after all sessions.
4. My understanding that I may stop or delay any further training if I so desire and that the training may be terminated by the trainer upon observation of any symptoms of distress or abnormal response or for personal reasons.
5. My understanding that I may ask any question or request further explanation or information about the exercises at any time before, during, and after all sessions.
6. That I will abide by the rules and regulations set by MVMNT BOX.
7. That I hereby release MVMNT BOX, its coaches, and its leadership from any liability with respect to damage or injury, including death, that I may suffer during training sessions.
8. Consult a doctor if any of the aforementioned symptoms arise due to my activity physical activity.
9. If I have any doubt, I will not engage in any type of strenuous physical activity, unless such activity is cleared by my doctor.