Participation Waiver

Please fill out the following waiver prior to participation
Please Note all participates will need a current USA Wrestling Card

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Consent & Waiver of LIABILITY
Wrestling Experience

MEDICAL CONCERNS:  Are there any medical concerns we should be aware of?
(Seizures, Heart Condition, Broken bones, Sprains, Torn Ligaments etc.)

Have you lost your consciousness in the last past 12 months?
If yes, have you been released by your physician t to participate in intense physical activities?

CONSENT and WAIVER of LIABILITY
 

You, the Athlete/Parent, hereby agree to inform instructors and CoreSpeed Gym of any medical concerns.  You understand that photos/videos may be taken during this activity and may be used for promotional material for CoreSpeed Gym's programs and you hereby agree to such use.

 

You, the Athlete/Parent, hereby acknowledge that the use of the services, equipment or premises of CoreSpeed Gym involves risks of injury to persons and property, including but not limited to injuries arising from use of exercise equipment and machines; injures arising from participation in supervised or unsupervised activities or programs at CoreSpeed Gym; injuries and medical disorders arising from exercising at CoreSpeed Gym, such as heat stress, sprains, broken bones, and torn muscles and ligaments, among others; and accidental injuries occurring anywhere at CoreSpeed Gym.  You hereby assume full responsibility for you or your child’s participation.

 

You, the Athlete/Parent, hereby release and hold CoreSpeed Gym, its directors, officers, employees and agents harmless from all liability to you and/or your child, and your personal representatives, assigns, and heirs for any loss or damage.  You forever give up any claim or demands therefore, on account of injury to you and/or your child or property including injury leading to death, if caused by negligence, but not gross negligence or willful misconduct by CoreSpeed Gym, while you and/or your child is in upon or about the premises of CoreSpeed Gym or using any fitness facilities, services or equipment of CoreSpeed Gym.  This release and waiver is granted in consideration of you and/or your child being permitted to enter CoreSpeed Gym facility for any purpose including, but not limited to (I) the observation, (ii) the use of facilities, service or equipment, or (iii) the participation in any programs, classes and sporting events.
 

By your signature below, you hereby stipulate that you have read, fully understand and voluntarily agree to all of the above:

Thanks for submitting!