CrossFit 4810 Health Waiver

MEDICAL CONDITIONS

Please tick applicable

GENERAL UNDERSTANDING

I (the undersigned) acknowledge that CrossFit is a physical fitness program. I understand that accidents and injuries are an inherent risk of any physical activity. CrossFit 4810 will make every effort to provide a safe environment, however I will be fully and solely responsible for my fitness results as well as my health and safety. I understand CrossFit workouts can be very difficult and strenuous on physical, mental and emotional systems. I will be solely responsible for monitoring myself and keep myself safe at all times.

CrossFit 4810 Health and Safety Waiver

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK, INDEMNITY AGREEMENT AND JURISDICTIONAL AGREEMENT.

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

To: Crossfit 4810 owners, volunteers, directiors, officers, employees, trainers, instructiors, agents, officials, independent contractors, servants, representatives, successors and assigns

a) The term "ATHLETIC ACTIVITY" or "ATHLETIC ACTIVITIES" includes but is not limited to personal training, fitness classes, team or individual competitions, fitness assessments, use of faccilities, observation of athletic activities, Olympic Weightlifting, powerlifting, strongman training or competitions, gymnastics, strenght conditioning,metabolic conditioning, plyometrics, interval training, bodyweight conditionaing, bouldering, rope climbing, macro climbing, stretching, outdoor running on tracks or sidewalks, sports and programs, clinics, seminars and services provided to the athlete by CrossFit 4810.

b) The term "INJURY" shall refer to all forms of physical, mental and emotional injury in any way related to athletic activity and transportation activities including, but not limited to death, breaks, strains, lacerations, dislocations, exercise induced rhabdomyolisis, heart failure, concussion, frostbite, heat illness, dehydration, trauma, anxiety and fears

DISCLAIMER

CrossFit 4810 owners, volunteers, dierectors, officers, employees, trainers, instructiors, agents, officials, independent contractors, servants, representatives, successors and assigns are not responsible for any death, injury, loss or damage of any kind suffered by any person while using CrossFit 4810 facilities, participating in or watching CrossFit 4810 activities, caused in any manner whatsoever ncluding, but not limited to the negligence of CrossFit 4810. I am aware that thletic activities have inherent dangers and risks inclubing but not limited to the potential for serious personal injury or death caused by any CrossFit 4810 athletic activities or any condition of the facility's or equipment of CrossFit 4810, some of which may include:

a) Transient light headedness, fainting, abnormal blood pressure, chest discomfort, muscle cramps, muscle soreness, pain, discomfort, fatigue, nausea, heart failure, exercise induced rhabdomyolysis and so forth.

b) All manner of injury resulting from slipping or falling, either roped or unroped, while jumping, skipping, running, walking, lifting, climbing, and impacting against the floor, walls, equipment, other athleres, or any permanent or temporary fixtures or equipment.

c) Abrasions, entanglement, lacerations, bruising, dislocation, and other injuries resulting from activities on or near stands, racks, weight bars, pull up bars, walls, ropes, cargo nets, medicine balls, and plyo boxes.

d) Injuries resulting from falling athletes or objects such as weights, dumbbells, bars, medicine balls, ropes, and so forth or by any objects dropped by other persons conducting athletic activities or assisting others.

e) Failure of the equipment, racks, stands, bars, attachments, anchors, ropes, harnesses

And I do hereby further acknowledge and agree

a) That the athletic activities I am participation in requires a moderato to high degree of effort, and are designed to be high intensity, and are intended to maximally challenge my cardiovascular endurance, stamian, strenght, flexibility, speed, power, coordination, agility, balance and accuracy

b) That I will honestly represent my level of fitness, health, nutrition, use of medication, medical history and current physical, mental and medical condtion to CrossFit 4810.

c) That although CrossFit 4810 takes steps to reduce the risks and increase the safety of all athletic activities, it is not possible for CrossFit 4810 to make these athletic activities completely safe.

d) That I am personally responsible for my preparation prior to athletic activities, my comcentration and attentin during these athletic activities, and for my post activity rest and recovery.

e) That I will learn and obey the rules and regulations of CrossFit 4810, and that I will follow the instructions and directions of CrossFit 4810 trainers during athletic activities.

f) That I will inform CrossFit 4810 immeditately should I feel any pain, discomfort, fatigue, nausea or other symptoms that I may suffer during or immediately after athletic activities.

g) That I may stop participating at any time and that I may be directed to stop by CrossFit 4810 should I display noticeable signs of distress.

h) That I consent to receive First Aid and medical treatment by CrossFit 4810 in the event of an accident or injury or illness during athletic activity.

i) That CrossFit 4810 may videotape, audiotape, or photograph you for instructional and promotional purposes without payment of any kind to you and withour further notice to you or permission from you.

Release of Liability, Waiver of Claims, Assumption of Risk, Imdemnity Agreement and Juridiction Agreement

In consideration of CrossFit 4810, allowing me to participate in CrossFit 4810 athletic activities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby as follows:

1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future against CrossFit 4810 and their owners, volunteers, directors, officers, employees, trainers, instructiors, agents, officials, independent contractors, servants, representatives, successors and assigns (all of whom are hereinafter referred to as the "RELEASEES") and TO RELEASE THE RELEASEES from any and all liability for any loss or damage, expense or injury including death that I may suffer or that my next of kin may suffer as a result of my participation in climbing and transportation activity, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, ON THE PART OF THE RELEASEES, AND INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF ATHLETIC ACTIVITIES.

2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any proerty damage or personal injury to any third party resulting from my participation in athletic activities.

3. TO HOLD HARMLESS AND INDEMNITY THE RELEASEES from any and all liability for any costs they may incur for medical costs, emergency transportation, and litigation resulting from my participation in athletic activities.

4. That this agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity.

5. This agreement and any rights, duties and obligations as between the parties to this agreement shal be governed by and interpreted solely in accordance with the laws of Qld Australia and no other jurisdiction and

6. any litigation involving the parties to this agreemant shall be brought solely within QLD and shall be within the exclusive jurisdiction of the Courts of QLD. In entering into this agreement I am not relying of any oral or written representations or statements made by CrossFit 4810 with respect to the safety of athletic activities other than what is set forth in this agreement.