Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

“I agree” - I have voluntarily chosen to participate in training activities provided by CF Dauntless. I understand there are inherent risks in all aspects of physical training and I acknowledge that I have been informed of the possible strenuous nature of the training and the potential for undesirable physiological results including, but not limited to, abnormal blood pressure, muscle soreness, fainting, heart attack and/or death. I also acknowledge that I have been specifically warned about the medical condition ‘Rhabdomyolysis’ and accordingly I have been advised to limit my effort in order to minimize the risks associated with this condition. *

I agree

“I agree” - I understand that the training may involve weight-lifting, gymnastic movements, strenuous body weight exercises and other high exertion activities, and that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my training sessions. I understand that should I feel light-headed, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my instructor. I give CF Dauntless and all instructors permission to seek emergency medical services for me should I become injured or ill with the understanding that I am responsible for any expenses incurred. I am also responsible for immediately notifying CF Dauntless if I either possess or develop any medical condition or suffer any injury or disease that may render the representations made by me in this agreement no longer true or render me unfit to participate safely in CF Dauntless activities. I must ensure that I take full responsibility for my health and wellbeing and that I do not compromise the safety and welfare of myself and others. CF Dauntless reserves the right to refuse permission for me if they maintain any reasonable concern that I am unfit to participate safely.. *

I agree

“I agree”  - To the extent permitted by law, CF Dauntless (which includes without limitation any and all agents, officers, employees, coaches, volunteers and any other person in which CF Dauntless may be vicariously liable for) excludes and is released from any liability owed to you in this agreement, tort, statute or in any other way for any injury, damage or loss of any kind whatsoever (including, without limitation, any liability for direct, indirect, special or consequential loss or damage), sustained by you and/or any other person, or for any costs, charges or expense incurred by you, arising from or in connection with your participation in the CF Dauntless programs, activities and services offered, including without limitation for any harm or loss suffered as a result of your non-compliance with this agreement or the reasonable requirements of CF Dauntless or for any misrepresentation provided by you in this agreement. *

I agree

“I agree” - This agreement shall be binding upon me, my successors, representatives, heirs, executors, 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 CF Dauntless to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for my child and to transport the child to a medical facility deemed necessary for the well being of the child. *

I agree

“I agree”  - This agreement shall be binding upon me, my successors, representatives, heirs, executors, 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 CF Dauntless to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for my child and to transport the child to a medical facility deemed necessary for the well being of the child. *

I agree

I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS “INFORMED CONSENT FORM” I AM WAIVING CERTAIN LEGAL RIGHTS (INCLUDING THE RIGHT TO SUE) WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTOR, ADMINISTERS AND ASSIGNS MAY HAVE AGAINST CF DAUNTLESS. ANY QUESTIONS I HAD WERE ANSWERED TO MY FULL SATISFACTION. *

I agree