Participant Information
Name: {name}
Date of Birth: {dob}
Address: {address}
Phone: {phone}
Emergency Contact: {contact_name}
Emergency Contact Phone: {contact_phone}
Emergency Contact Relation: {contact_relation}
ACKNOWLEDGMENT & ASSUMPTION OF RISK
I, {name} (“Participant”), voluntarily choose to participate in strength and conditioning activities offered by GV Athletics, including but not limited to weight training, cardiovascular training, conditioning workouts, speed and agility training, youth programs, group classes, open gym, personal training, special events, and competitions.
I understand that participation in physical fitness activities involves inherent risks, including but not limited to muscle strains, sprains, tears, broken bones, joint injuries, overexertion, dehydration, heat illness, dizziness, fainting, heart attack, rhabdomyolysis (“Rhabdo”), permanent disability, or death.
I knowingly and freely assume all risks, both known and unknown, associated with my participation.
Rhabdomyolysis (Rhabdo) Acknowledgment
I acknowledge that intense physical exercise may result in exertional rhabdomyolysis, a rare but serious condition involving muscle breakdown. I understand the symptoms may include severe muscle pain, swelling, weakness, darkened urine, and decreased urine output.
I understand it is my responsibility to monitor my own physical condition and to immediately stop exercising and seek medical treatment if I experience symptoms of Rhabdo or any other concerning condition.
RELEASE OF LIABILITY
To the fullest extent permitted by Arizona law, I hereby waive, release, discharge, and hold harmless:
- GV Athletics
- All owners, officers, employees, contractors, volunteers
- Any and all coaches or instructors who may coach, fill in, substitute, or lead classes
- Program directors, including JSpeed Program and coach Jason Allison
- Event staff, sponsors, vendors, and volunteers
- Facility owners and affiliates
from any and all claims, demands, damages, actions, or causes of action, arising out of or related to my participation, including those caused by ordinary negligence.
PROGRAMS & EVENTS COVERED
This waiver applies to all activities and services provided by GV Athletics, including but not limited to:
- Strength & Conditioning Classes
- Youth & Adult Training Programs
- Personal Training & Open Gym
- JSpeed Program
- Special events, seminars, and drop-ins
- GV Athletics’ annual event: Clash of the Fittest
- Any off-site, outdoor, or travel-related activities organized by GV Athletics
COACHING & SUPERVISION
I understand that GV Athletics does not guarantee supervision at all times and that I am responsible for following instructions, using equipment safely, and exercising within my own limits.
CHILDREN BROUGHT TO THE FACILITY
GV Athletics does not provide childcare. I assume full responsibility for the supervision and safety of any children I bring into or around the facility and release GV Athletics from any liability related to their presence.
MEDICAL REPRESENTATIONS
I certify that I am physically and mentally capable of participating in fitness activities and have no condition that would prevent safe participation. I understand that GV Athletics does not provide medical advice and that I am responsible for consulting a physician if needed.
COMMUNICABLE DISEASE ACKNOWLEDGMENT
I understand that participation in group fitness activities may increase exposure to communicable diseases, including but not limited to COVID-19 or similar illnesses. I voluntarily assume this risk.
MEDIA RELEASE
I grant GV Athletics permission to use photographs or videos taken of me during activities or events for marketing, social media, and promotional purposes without compensation.
MINORS
If the participant is under 18 years of age, this waiver must be signed by a parent or legal guardian, who agrees to all terms on behalf of the minor and accepts full responsibility for medical costs or care.
SEVERABILITY & GOVERNING LAW
This waiver is intended to be as broad and inclusive as permitted by the laws of the State of Arizona. If any portion is found invalid, the remaining portions shall continue in full force and effect.
ACKNOWLEDGMENT
I have read and fully understand this Waiver of Liability and Release. By signing below, I voluntarily agree to its terms.
Signature:
Date: {sign_date}
Initials: