The following invoice shows what you will be charged as you select classes to drop into.
Express Assumption of Risk: I, the undersigned, am aware that there are signi cant risks involved in all
aspects of physical training and competitive sports. 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 part-
ner, or other people around me, injury or death due to improper use or failure of equipment. 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 while at CrossFit or CrossFit 978 sanc-
tioned events. I, the undersigned acknowledge that I have no physical impairments or illnesses 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 978, I, the undersigned here-
by release CrossFit and CrossFit 978 or 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 Cross-
Fit or CrossFit 978 to administer rst 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.
Use of picture(s)/ lm/likeness: I further agree to allow CrossFit 978, its agents, of cers, principals, em-
ployees, and volunteers the use of a picture(s), lm, 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 978 of
this in writing.
Indemni cation: The participant recognizes that there is risk involved in the types of activities offered by
CrossFit or CrossFit 978. Therefore the participant accepts nancial 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 incure 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 or CrossFit 978, 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 or CrossFit 978.
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.