The following invoice shows what you will be charged as you select classes to drop into.
WAIVER AND RELEASE OF LIABILITY
CrossFit East Nashville
400 Davidson Street, Suite
Nashville, TN 37213
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 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. 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 East Nashville.
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 East
Nashville, I, the undersigned hereby release CrossFit, CrossFit East Nashville,
and Crossfit Holdings, Inc., 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
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 East Nashville 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.
The participant recognizes that there is risk involved in the types of
activities offered by CrossFit East Nashville. 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 and CrossFit East Nashville, and Crossfit Holdings, Inc.,
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 East Nashville.
I, the undersigned acknowledge that I have no physical impairments or illnesses that will endanger myself or others.
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.