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Liability waiver

Waiver and Release of Liability

CrossFit Ireland Ltd (Trading asPerpetua Perpetua)

In consideration of CrossFit Ireland Ltd allowing me to participate, I acknowledge, understand and I am aware that:

I have voluntarily chosen to participate in training activities provided by CrossFit Ireland Ltd. 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 minimise the risks associated with this condition.

I understand that the training may involve weightlifting, gymnastic movements, strenuous bodyweight 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 lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform my trainer. I give CrossFit Ireland Ltd and the staff of the facilities I train in 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 agree to WAIVE ANY AND ALL CLAIMS that I have or may have in the future against CrossFit Ireland Ltd and its directors, officers, employees, agents, volunteers and independent contractors (all of whom are hereinafter collectively referred to as “the Releasees”). I agree to RELEASE THE RELEASES from any and all liability for any loss, damage or injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in these programmes, activities and services provided by CrossFit Ireland Ltd, due to any cause whatsoever including negligence, brach of contract, or breach of any statutory or other duty of care. I agree to HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to the property of or personal injury to, any third party, resulting from my participation in any program, activity or service provided by the releasees.

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 CrossFit Ireland Ltd to administer first aid deemed necessary, and in the case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

Use of picture(s)/film/likeness: I agree to allow CrossFit Ireland Ltd, its agents, officers, principals, employees and volunteers to use picture(s) film and/or likeness of me for advertising purposes. In the event I choose not to allow the use of the same for said purpose, I agree that I must inform CrossFit Ireland Ltd, of this in writing.

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 THE RELEASEES. ANY QUESTIONS I HAD WERE ANSWERED TO MY SATISFACTION.

Intros

I understand that if I do not complete any of these sessions I am not entitled to a refund for payments made upfront. I understand there is a 48 hour cancellation policy. If I do not attend a session I am not eligible for a refund.

I confirm I have advised my trainer if I have any of the following health issues:

-Any form of heart disease

-Shortness of breath /chest pains

-Family history of heart disease

-Knee/back/hip/pelvis/neck/shoulder problems

-High blood pressure

-Diabetes

-Any injuries

-Allergies

-Taking any medication

-Dizziness

Drop Ins

If I am a visitor dropping into a crossfit class I confirm I have 6 months CrossFit experience. If the coach deems I am unable to train due to lack of experience I am not entitled to a refund. If I do not turn up on the day I am not eligible for a refund.

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I agree to the Perpetua liability waiver

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