CrossFit Cameron Park
3837 Quest Ct. #2 Cameron
Park Ca. 95682
Photography/Video Release
Participants
involved in any activities offered by CrossFit Cameron Park may be photographed
or videotaped during training. The undersigned hereby consents to the use of
these photographs and/or videos without compensation, on the CrossFit Cameron
Park website or in any editorial, promotional or advertising material produced
and/or published by CrossFit Cameron Park.
Waiver and Release of Liability
Express assumption of risk: I, the
undersigned, am aware that there are significant risks involved in all aspects
of physical training. 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; strains and sprains. 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 at, or under direction of CrossFit Cameron
Park.
I acknowledge that I have no physical
impairments, injuries, or illnesses that will endanger me 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 offered by CrossFit Cameron Park,
I, the undersigned hereby release CrossFit Cameron Park, 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 Cameron Park 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 Cameron Park. 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 Cameron Park, 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
Cameron Park, at the main building or abroad. This includes but is not limited
to parks, recreational areas, playgrounds, areas adjacent to main building,
and/or any area selected for training by CrossFit Cameron Park.
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.
Please answer the following questions:
