Intro

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:



Release of Liability

Photography/ Video release:
Participants involved in any activities offered by Ronald Teasdale and/or CrossFit Mean Streets may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation on the CrossFit Mean Streets website or in any editorial, promotional material produced and/or published by Ronald Teasdale and or CrossFit Mean Streets.

Express Assumption of Risk

I, the undersigned, am aware that there are significant risks involved in all aspects of physical training.
These risks include but are not limited to falls which can result in serious injury or death, injury or death resulting from negligence on the part of myself, my training partner, or other people around me, injury or death from improper use or failure of equipment, strains or sprains. I am aware that any of these above mentioned risks may at any time result in injury or death to me and/or my partner/partners.

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 or class while at or under the direction of Ronald Teasdale and/or CrossFit Mean Streets.

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 offered by Ronald Teasdale and/or CrossFit Mean Streets, I the undersigned hereby release Ronald Teasdale and/or CrossFit Mean Streets, there principals, agents, employees and volunteers from any and all liability, claims, demands, actions or rights, which are related to, or may arise out of, or in any way connected with my participation in this activity including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executives, 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 Ronald Teasdale and/or CrossFit Mean Streets to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical facility deemed necessary for the well being of the child.

Indemnification

The participant recognizes that there is risk involved in the types of activities offered by Ronald Teasdale and/or CrossFit Mean Streets. Therefore, the participant accepts financial responsibility for any injury that the participant may cause either to himself/herself or to any other participants 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 the fees and costs. I further agree to indemnify and hold harmless Ronald Teasdale and/or CrossFit Mean Streets, their principals, agents employees and volunteers from liability for the injury or death of any person(s) and damage to their property that may result from my negligent or intentional act or omission while participating in activities offered by Ronald Teasdale and/or CrossFit Mean Streets at the main building or abroad. This includes but is not limited to parks, recreational areas, and playgrounds, areas adjacent to main building or abroad. This includes but is not limited to parks, recreational areas, and playgrounds, areas adjacent to the main building and/or any area for training by Ronald Teasdale and/or CrossFit Mean Streets.

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 or death of any person and damage to the property caused by my negligent act or omission. I understand by signing this form I am waiving legal rights.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.