WAIVER OF LIABILITY/INFORMED CONSENT
By booking with pittsburghpunch.com you consent to signing this form
Pittsburgh Punch Fitness Boxing Club
RELEASE/WAIVER OF LIABILITY/INDEMNITY AGREEMENT
In consideration of being allowed to participate in the “Pittsburgh Punch” activities, training, and programs of Pittsburgh Punch Fitness Boxing Club and use of facilities and equipment, I do hereby waive, release, covenant not to sue and forever discharge Pittsburgh Punch Fitness Boxing Club and its officers, members, agents, employees, representatives, executors, and all others from any and all responsibilities or liabilities from injuries or damages resulting from my participation in any activities or my use of equipment and facilities in the above mentioned Club. I do hereby release all those mentioned and any others acting on their behalf from any responsibility or liability for any injury or damage to myself including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Pittsburgh Punch Fitness Boxing Club or the use of any equipment at Pittsburgh Punch Boxing Club.
I understand and am aware that boxing and full contact sports and participation in them is a potentially hazardous activity. I also understand that these activities involve risk of injury or even death, and that I am voluntarily participating in these activities. It has been advised that I should make provisions for coverage of liability within my own insurance policy.
I acknowledge that I have and am hereby advised to seek and obtain any necessary medical clearances from my physician to undertake the physical examination prior to beginning any exercise activity. I have obtained the necessary medical clearances to participate in activities and programs. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. I am in good health not under the influence of any substance and I am capable of performing the physical activity I choose to participate in.
I hereby agree and consent to voluntarily engage in any and all exercises and physic activity opportunities at Pittsburgh Punch Fitness Boxing Club and to voluntarily use Pittsburgh Punch Fitness Boxing Club equipment and facilities at my own risk and with the full knowledge and appreciation of any and all dangers and risks inhibited
CONSENT TO USE IMAGE
I do hereby give the Pittsburgh Punch Fitness Boxing Club and its designees the irrevocable right to use my photograph and or video imaging as a part of their printed material, social media, website and any promotional marketing advertisement. I hereby waive all rights to approve the finished product. I also release Pittsburgh Punch Fitness Boxing Club from any claims for compensation associated with any forms of damages, foreseen or unforeseen, associated with the use of the images or videos.
IMPORTANT – READ BEFORE SIGNING
I HEREBY ACKNOWLEDGE BY SIGNING THIS FORM ON BEHALF OF MYSELF AND/OR THE CHILD LISTED ON THE MEMBERSHIP APPLICATION, I AGREE THAT THE RELEASE, WAIVER OF LIABILITY, IDEMNITY AGRREEMENT, CONSENT, AND ALL OTHER TERMS ABOVE APPLY TO ME AND/OR TO THE CHILD.
***If applicant is less than 18 years of age, a parent or legal guardian must read above application and give consent on the signature below:
I hereby affirm that I have read and fully understand the above. Signature [obtained electronically when registering through pittsburghpunch.com ]