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Bat City CrossFit

12400 Amherst Drive #104

Austin, Texas 78727

PLEASE NOTE: This waiver of Liability, Release, Acknowledgement of Risk, and Indemnification Agreement (Waiver Agreement) is intended to be, and is, legally binding.

If any aspect of this Waiver Agreement requires clarification, have a Bat City CrossFit, employee fully explain it before signing. By signing the Bat City CrossFit Athlete Registration and Waiver you are agreeing to all terms set forth in this Waiver Agreement. You and/or the person on whose behalf you are signing, are waiving the right to bring any type of action, whether in court or otherwise, to recover compensation or obtain any other remedy for any personal injuries, damages to property, any accident or incident of any type, or death, arising out of or related to your use of Bat City CrossFit, its facilities, grounds, climbing walls, exercise areas, classes, equipment, whether the use is supervised or unsupervised. While Bat City CrossFit offers these activities in a controlled environment, there is still an assumed risk of injury to persons using Bat City CrossFit. In agreeing to this Waiver Agreement, I hereby acknowledge, understand, and agree on my behalf, and upon behalf of the person for whom I am signing, that the use of Bat City CrossFit its facilities, equipment, climbing walls, classes and/or participating in activities sponsored by Bat City CrossFit have inherent risks. These risks include, but are not limited to, any injury of damage resulting from:

Negligence of employees, volunteer assistants, independent contractors of Bat City CrossFit. Negligent misuse of the facility, climbing walls, or equipment of Bat City CrossFit; falling off or impacting against the climbing walls, impact surface, floors, or anything else; rope abrasion, entanglement or other activities occurring on the premises; cuts or abrasions resulting from any cause whatsoever; failure of the climbing walls or equipment, whether inside or outside; personal health problems, whether mental or physical; negligence of other climbers, visitors, or observers or persons who may be present in or around the climbing area or facility; and/or negligence or lack of adequate training of any person(s) who seek to assist with medical or other help either before or after any injury or damage may occur.

BAT CITY CROSSFIT AGREEMENT AND RELEASE OF LIABILITY

In consideration of being allowed to participate in the activities and programs of Bat City CrossFit and to use its facilities, equipment and machinery in addition to the payment of any fee or charge, I, for myself, my heirs and assigns, hereby waive, release, and forever discharge Bat City CrossFit and their officers, agents, employees, representatives, executors and all others from any and all, responsibilities or liability from injuries or damages resulting from my participation in any activities or my use of equipment, classes, climbing walls or machinery in the above mentioned activities. I do hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Bat City CrossFit or the use of any  equipment at Bat City CrossFit. 

 

I understand and am aware that, fitness, and climbing including the use of the equipment, are all potentially hazardous activities. I also understand that fitness activities involve a risk of injury or even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I hereby to expressly assume and accept any and all risks of injury or death.   

 

3. I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation or use of equipment, climbing wall or machinery except as herein stated. I acknowledge that I have either had a physical examination and been given my physicians permission to participate, or that I have decided to participate, in the activity of, fitness, and climbing and the use of the equipment, climbing wall and machinery without the approval of my physician and do hereby assume all responsibility for my participation and activities, and utilization of equipment and machinery  in  my  activities.  

 

Ph ot o / Vi d e o R el ea s e

I hereby give permission for my images captured during regular and special activities through video, camera and digital camera to be used for the purposes of Bat City CrossFit promotional material, publications and web site,and waive any rights of compensation or ownership thereto. 

                                                                                                     

First Athlete's Name

First Name*

Last Name*

Phone*
First Athlete's Date of Birth*
First Athlete's Signature*
Second Athlete's Name

First Name*

Last Name*
Second Athlete's Date of Birth*
Third Athlete's Name

First Name*

Last Name*
Third Athlete's Date of Birth*
Fourth Athlete's Name

First Name*

Last Name*
Fourth Athlete's Date of Birth*
Fifth Athlete's Name

First Name*

Last Name*
Fifth Athlete's Date of Birth*
Sixth Athlete's Name

First Name*

Last Name*
Sixth Athlete's Date of Birth*
Seventh Athlete's Name

First Name*

Last Name*
Seventh Athlete's Date of Birth*
Eighth Athlete's Name

First Name*

Last Name*
Eighth Athlete's Date of Birth*
Ninth Athlete's Name

First Name*

Last Name*
Ninth Athlete's Date of Birth*
Tenth Athlete's Name

First Name*

Last Name*
Tenth Athlete's Date of Birth*
11 Athlete's Name

First Name*

Last Name*
11 Athlete's Date of Birth*
Athlete's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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