North Ankeny CrossFit Acceleration IA Drop In Signup
Select the classes on the calendar you'd like to drop into.
The calendar contains North Ankeny CrossFit Acceleration IA's classes they allow drop-ins to attend. You can select as many classes as you'd wish to attend, and your fee will be adjusted accordingly.
Drop In Fee Details
The following invoice shows what you will be charged as you select classes to drop into.
Please enter your information below to register and pay for your drop-in classes
Emergency contact name
Emergency contact phone
How did you hear about us?
-- Select One --
Google / Web Search
Referred By Member
Heard about us other
North Ankeny CrossFit Acceleration IA Liability Waiver (11910)
Assumption of Risk and Agreement
Participation Release of Liability
In consideration of being allowed to participate in any way in the program, related events and activities, I, the undersigned, acknowledge, appreciate and agree that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation.
3. I willingly agree to comply with the terms and conditions for participation. If I observe any unusual significant hazard during my presence, or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
4. I, for myself, and on behalf of my heirs, executors, administrators, personal representatives, successors and assigns, waive and release any and all rights, claims and courses of action I have or may have against Ankeny Sports Performance (North Ankeny CrossFit or Acceleration Iowa) or anyone associated with the entity, it’s Primary Sponsor and it’s affiliates, their agents, employees, officers, directors, successors and assigns, the event management company, the City, The Parks Districts, and any and all sponsors, their representatives and successors, that may arise as a result of my participation in the event and any pre-and post-event activities.
5. I attest and verify that I am physically fit and have sufficiently trained for the completion of this program, related event and/or related activities, and a licensed medical doctor has verified my physical condition.
6. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose including commercial advertising.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up rights by signing it, and sign it freely and voluntarily without any inducement. I also verify that I am 18+ years of age. (else, please see the parent/guardian signature required below).
Please answer the following questions
Do you have any metabolic conditions (i.e. diabetes, asthma, or a heart condition)?
Do you have any current injuries that inhibit your daily life?
Do you have any previous injuries or surgeries that affect your daily life (i.e. knee replacement, arthritis, ACL repair from high school)?
If you answered "yes" to any of the above questions, please write out the reason(s) below.
Please use your mouse/finger to sign your name
By clicking this checkbox you agree to online signature signing of this waiver
Enter Credit or Debit Card Information
I consent to conduct electronic business
Triib, Inc Copyright © 2018
- All Rights Reserved
Powered by Triib, Inc