The following invoice shows what you will be charged as you select classes to drop into.
PLEASE NOTE: This waiver of Liability, Release, Acknowledgement of Risk, and Indemnification
Agreement ("Waiver Agreement”) is intended to be, and is, legally binding.
If any aspect of this Waiver Agreement requires clarification, have a Salt Shack CrossFit, employee fully
explain it before signing. By signing the Salt Shack CrossFit Registration you are agreeing to all terms set
forth in this Waiver Agreement. You and/or the person on whose behalf you are signing, are waiving the
right to bring any type of action, whether in court or otherwise, to recover compensation or obtain any
other remedy for any personal injuries, damages to property, any accident or incident of any type, or
death, arising out of or related to your use of Salt Shack Cross Fit, its facilities, grounds, exercise areas,
classes, equipment, whether the use is supervised or unsupervised. While Salt Shack Cross Fit offers
these activities in a controlled environment, there is still an assumed risk of injury to persons using Salt
Shack CrossFit. In agreeing to this Waiver Agreement, I hereby acknowledge, understand, and agree on
my behalf, and upon behalf of the person for whom I am signing, that the use of Salt Shack CrossFit, its
facilities, equipment, classes and/or participating in activities sponsored by Salt Shack CrossFit haveinherent risks. These risks include, but are not limited to, any injury of damage resulting from:
Negligence of employees, volunteer assistants, independent contractors of Salt Shack CrossFit. Negligent
misuse of the facility, or equipment of Salt Shack CrossFit; falling off or impacting against the walls,
impact surface, floors, or anything else; rope abrasion, entanglement or other activities occurring on the
premises; cuts or abrasions resulting from any cause whatsoever; failure of the equipment, whether inside
or outside; personal health problems, whether mental or physical; negligence of other visitors, or
observers or persons who may be present in or around the facility; and/or negligence or lack of adequate
training of any person(s) who seek to assist with medical or other help either before or after any injury or
damage may occur.
Agreement and Release of Liability
1. In consideration of being allowed to participate in the activities and programs of Salt Shack
CrossFit and to use its facilities, equipment and machinery in addition to the payment of any fee
or charge, I, for myself, my heirs and assigns, hereby waive, release, and forever discharge
Salt Shack CrossFit, and their officers, agents, employees, representatives, executors and all
others from any and all, responsibilities or liability from injuries or damages resulting from my
participation in any activities or my use of equipment, classes, climbing walls or machinery in
the above mentioned activities. I do hereby release all of those mentioned and any others
acting upon 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 Salt Shack CrossFit or the use of any equipment at Salt Shack Cross Fit.
2. I understand and am aware that, fitness, including the use of the equipment, are all potentially
hazardous activities. I also understand that fitness activities involve a risk of injury or even
death, and that I am voluntarily participating in these activities and using equipment and
machinery with knowledge of the dangers involved. I hereby to expressly assume and accept
any and all risks of injury or death.
3. I do hereby declare myself to be physically sound and suffering from no condition, impairment,
disease, infirmity, or other illness that would prevent my participation or use of equipment, climbing
wall or machinery except as herein stated. I acknowledge that I have either had a physical
examination and been given my physician’s permission to participate, or that I have decided to
participate, in the activity of, fitness, and climbing and the use of the equipment, climbing wall and
machinery without the approval of my physician and do hereby assume all responsibility for my
participation and activities, and utilization of equipment and machinery in my activities.
Agreement and Release of Liability:
In consideration of having Salt Shack CrossFit allow my child, who is
under the age of 18 to participate in the activities and programs of Salt Shack CrossFit, including but
not limited to Salt Shack CrossFit and use of the any other equipment, I hereby for my child’s heirs,
executors, administrators, and or assigns, waive and release any and all rights and claims of any
nature my child may have against Salt Shack CrossFit, its officers, employees, agents, chapters,
assignees, licensees, and cooperating entities, their representatives, heirs, executors,
administrators, successors, and assigns for and against any and all injuries or damages of any
nature my child may suffer while taking part in any activities connected with Salt Shack Cross Fit.
This release and consent shall be binding upon my child’s heirs, executors, administrators, and/or
I hereby give permission for images of my child, captured during regular and special activities
through video, camera and digital camera to be used solely for the purposes of Salt Shack CrossFit
promotional material, publications and website, and waive any rights of compensation or ownership
thereto. Last names of minors will not be given or posted on the web site.