athlete waiver form

Thank you for completing the athlete registration form.

Make sure you have completed all four steps in the registration process. If you have not done so, please complete the four steps listed below:

1) Fill out the registration form below

2) Sign up for a Danvers Indoor Sports Membership at danversindoorsports.com (details below)

3) Fill out our Release and Waiver of Liability form

4) Submit payment for program. Cash and check should be dropped off at our facility: 150R Andover Street in Danvers. Venmo payments should be paid to @repertoirefitness

RELEASE AND WAIVER OF LIABILITY

I understand that this Release and Waiver of Liability governs all rights and liabilities relating in any way to the receipt by me from Danvers Indoor Sports/ Repertoire Fitness, INC and/or its agents of Services, as that term is defined below. I have read, understand, and agree to be bound by the terms below.

definitions

“Released Parties” shall mean all Danvers Indoor Sports/ Repertoire Fitness, INC staff and employees with, in relation to the previously-listed respective Released Parties, all of their officers, directors, shareholders, insurers, partners, employees, employers, agents, successors, contractors, assigns, affiliates, parent corporations, affiliated corporations, and subsidiary corporations.

“Services” shall mean any and all manner of goods and services offered by Danvers Indoor Sports/ Repertoire Fitness, INC or any other Released Party to you.

These services, which may take the form of training, treatment, consulting, and the like, expressly include but are not limited to: evaluations; rehabilitation; reconditioning; performance planning; performance training (including strength & conditioning training, speed & quickness training, plyometric training, and the like); recovery and regeneration training; sports nutrition consultation; supplement and nutrition provision; any consultation related to any item in this list; injury reduction and treatment; technical and tactical instruction; performance enhancement training.
“Training” shall mean any act, omission, or other activity required of you or carried out by you in relation to the services.

I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in the Training may cause injury, am voluntarily choosing to participate in the training. I acknowledge that it is my responsibility to consult with my physician prior to beginning the Training. There are always certain risks associated with any physical activity. I understand these risks and declare myself physically sound and capable to participate in the Training.

terms and provisions

The risk of injury from participation in sporting events and other strenuous physical activity, including Training, is significant, including the potential for permanent paralysis, other serious injury, and/or death. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS of participation in Training, including, without limitation, risk arising from or relating in any way to the condition of the facilities, equipment, fields, and surrounding premises, the actions of persons other than myself, my own actions, and travel to and from the Training. I UNDERSTAND THAT THE RELEASED PARTIES MAKE NO WARRANTIES and shall in no event be responsible or liable for the defective or dangerous condition of the facilities, equipment, fields, and surrounding premises, except to the extent such condition(s) result(s) solely from the gross negligence or intentional acts of a Released Party. In making this activity available for your Training, Danvers Indoor Sports/ Repertoire Fitness, INC assumes no responsibility for injury. The responsibility is assumed only by the undersigned.

I acknowledge and agree that participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES or others, and assume full responsibility for my participation. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove yourself from participation and bring such to the attention of a staff member. I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, discharge and covenant not to sue Released Parties and their respective board members, officers, agents, advisors, employees, affiliates, members, volunteers, staff, heirs, assigns and representatives from any and all claims including, not by way of limitation, any claims arising from negligence of Released Parties or any of them resulting in personal injury, accidents or illnesses (including death) and/or property loss arising from or relating in any way to participation in the Training, the use of facilities in connection with the Training, and/or travel before, during or after the Training.

I agree to indemnify and hold harmless Released Parties from any and claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys fees, and to reimburse Released Parties from any such expense incurred in connection with or as a result of (1)(a) the undersigned’s participation in the Training or (b) travel associated with the Training or (2) arising in connection with or as a result of any attempt by anyone, including, not by way of limitation, the undersigned or anyone claiming on the undersigned’s behalf, to avoid the terms of this document which I freely sign.

I WARRANT AND UNDERSTAND that it is my sole and personal responsibility to obtain insurance to compensate for any and all injuries which might arise from my participation in the Training, and furthermore agree to look solely to such insurance to cover losses resulting from any injuries, regardless of fault, and waive all rights of subrogation on behalf of any and all Released Parties which may now or ever exist as a result of such insurance.

photo/video disclaimer

Danvers Indoor Sports/Repertoire Fitness, INC has my permission to use my photograph, video and audio recordings in future publications, web pages, and other promotional materials produced. I understand the circulation of the materials could be worldwide and that there will be no compensation to me for this use.

If any paragraph, subparagraph, sentence or clause of this agreement shall be adjudged illegal, invalid or unenforceable, the balance of the agreement shall remain in full force and effect. This agreement shall be construed and interpreted under Massachusetts’s law. Any lawsuit or claim arising from or relating in any way to Training, Services, and/or this agreement shall be brought, if at all, in Essex County, Massachusetts.

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it, including the right to sue, and sign it freely and voluntarily. I knowingly assume all such risks and elect to proceed with the Training despite all the risks.

I acknowledge that I have received valuable consideration in relation to my execution of this agreement, which I understand to be a prerequisite to my receipt of Services. Finally, I understand that this agreement shall be of full force and effect as to any and all Services I receive from the Released Parties, without regard to the date or timing of such service.

Having such knowledge, I do hereby release Danvers Indoor Sports/Repertoire Fitness, INC of all liability related to injuries or accidents to myself which may occur as a result of participation in the Training. I hereby assume all risks connected therewith and consent to participate in the Training.

ATHLETE NAME

PARENT/GUARDIAN NAME

SIGNATURE

(Athlete must be 18 years of age or older to sign. Athlete’s under the age of 18 need a parent/guardian’s signature.)

IN ANY EVENT, THE LIABILITY OF A RELEASED PARTY TO ME FOR ANY REASON AND UPON ANY CAUSE OF ACTION SHALL NOT EXCEED THE AMOUNT ACTUALLY PAID BY ME TO Danvers Indoor Sports/Repertoire Fitness, INC DURING THE TWELVE MONTHS IMMEDIATELY PRECEDING MY ASSERTION OF SUCH CLAIM. THIS LIMITATION APPLIES TO ALL CAUSES OF ACTION IN THE AGGREGATE, INCLUDING, WITHOUT LIMITATION TO EQUITY, BREACH OF CONTRACT, BREACH OF WARRANTY, NEGLIGENCE, STRICT LIABILITY, MISREPRESENTATIONS, AND OTHER TORTS.

athlete waiver form

RELEASE AND WAIVER OF LIABILITY

definitions

terms and provisions

photo/video disclaimer

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