VITA CORS

Vita Cors
Participation Liability Waiver

First name

Last name

Date of Birth

Do you need a doctor’s permit to participate in intense physical activities?

Yes

Please let us know if you have any imitations and anything else we should know about you.

I declare that the info I’ve provided is accurate & complete

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 due to improper use or failure of equipment; injury or death due to negligence on the part of myself, my training partner, or other people around me; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). As with any form of physical training exercises, it will put stress on your cardiovascular system, bones, and joints including but not limited to your heart, shoulder, elbows, wrists, hips, knees and ankles. 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 in any activity offered at Vita Cors. I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others. 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 Vita Cors, I, the undersigned hereby release Vita Cors, their principals, agents, employees, associates and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation, 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, 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 Vita Cors 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 the child and to transport the child to a medical facility deemed necessary for the welfare of the child. Participants involved in any activities offered by Vita Cors may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation.

Your Signature

Emergency Contact Name and Phone Number

Parent Signature if Participant is under 18.

Parent full name for participants under 18.

Thanks for submitting!

Vita Cors Participation Liability Waiver

Vita Cors
Participation Liability Waiver