North Ankeny CrossFit & Acceleration Iow Liability Waiver (3621)
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 CrossFit Des Moines 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