CrossFit Bemidji Liability Waiver (11597)
CrossFit Bemidji recommends that you clear your participation in any exercise program with your physician.
By signing below, I certify that I am sufficiently physically fit to participate in rigorous physical activity and I (and my parent or guardian, if I am a minor) hereby waive and release Natural Existence, LLC (doing business as CrossFit Bemidji), and any sponsors and organizers of the aforementioned entities and persons from any cause of action, loss, liability, claim demand or expense of any kind whatsoever which I or my heirs or personal representatives may have bodily injury or illness and for any other cost, damage or loss suffered or incurred by me or during my participation in the event and all related activities. I acknowledge that I have either had a physical examination and have been given my physician’s permission to participate, or that I have decided to participate in the exercise activities, program, and use of equipment without prior approval of my physician and do hereby assume all responsibility for participation in said activities, programs and use of equipment.
I acknowledge that participating in CrossFit® and any activity including but not limited to, weightlifting, walking, jogging, running, aerobic activities, or any other sporting or recreational endeavor, and receiving coaching in these activities is a hazardous recreational activity with risk of personal injury including paralysis or death. CrossFit Bemidji has made me fully aware that the fitness programs/classes, which CrossFit Bemidji offers and in which I desire to participate, are of a nature and kind that are extremely strenuous and can/may push me to the limits of my physical abilities. I, the undersigned, recognize and understand that the programs/classes are not without varying degrees of risk which may include, but are not limited to, the following: Injury to the musculoskeletal and/or cardio respiratory systems 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, or injury or death due to a medical condition whether known or unknown by me. 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 hereby certify that I know of no medical problems that would increase my risk of illness and injury as a result of participation in a fitness program designed by CrossFit Bemidji. CrossFit Bemidji informed me that there exists the possibility of adverse physical changes during an exercise program, and I fully understand the same. If I am engaged in online training, I acknowledge that I am not
being monitored by any trainer and that there is no liability to the trainer, facility or studio if there
is an injury sustained.
I HEREBY FULLY ASSUME THE RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY INHERENT IN, AND/OR IN ANY WAY CONNECTED WITH, ATTENDING, PARTICIPATING IN, AND SPECTATING A CROSSFIT BEMIDJI EVENT OR OTHER CROSSFIT ACTIVITY AT THE FACILITIES EVEN IF ARISING FROM THE NEGLIGENCE OF OTHER PERSONS EXECUTING A SIMILAR WAIVER AND RELEASE FROM LIABILITY.
I understand that I will not be permitted to Participate in CrossFit activities without executing this Waiver and Release. As a condition of my participation in CrossFit activities, I grant Natural Existence, LLC/CrossFit Bemidji, and its employees, members, partners, officers and agents perpetual and non-revocable permission to use my name, photographs and video in which my image and likeness appears in connection with my participation in CrossFit activities and further grant permission to display, publish, distribute, use, print and reprint such images and likeness, and the right to employ such images or likeness in advertising and promotions relating thereto or to CrossFit Bemidji or any activities at or related to CrossFit Bemidji, including any advertisements or media and electronic displays and transmissions thereof (herein “Likeness Rights”). I release CrossFit Bemidji and its employees, members, partners, officers and agents from any and all liability for damages for use in any manner or media of the Likeness Rights, and waive any and all claims and causes of action for damages for use of the Likeness Rights, including but not limited to: unauthorized use of my likeness, image, character or persona; violation of my right of publicity or privacy; and for copyright or moral rights infringement, defamation, or being cast in a bad light.
I (and my parent or guardian, if I am a minor) recognize the there is risk involved in the types of activities offered by CrossFit Bemidji, and agree that I (and my parent or guardian, if I am a minor) accept financial responsibility for any injury that I or 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 defend, indemnify and hold harmless Natural Existence, LLC/CrossFit Bemidji, their principal 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 Bemidji. I will be financially responsible for treatment, hospitalization and other medical care rendered to me in the event of my illness, injury or other medical emergency circumstances in connection with any and all activity at the CrossFit Bemidji facility.
I AGREE NOT TO BRING ANY CLAIM AGAINST RELEASEES, which claims concern in any way death, injury, damage, or loss of any type or nature, which arise out of, are related to, or are in any way connected with attending, participating in, volunteering at or spectating at CrossFit Bemidji or weightlifting activities, and/or which arise out of or are connected in any way with my use of, or my presence at the Facility(ies) at which (those) activities held, whether injury, death or disability, loss or damage is caused in whole or in part by negligence, gross carelessness, or other acts or failure to act of those persons or entities.
I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENTS AND AGREE TO BE BOUND THEREBY. IF I AM UNDER THE AGE OF EIGHTEEN YEARS, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW.
Please answer the following questions