Name: Date:
Did you file the health history form?
Performance Resources LLC is concerned for your well being; therefore, we require that you consult with your personal physician concerning your training and competition programs. If you possess any physical or psychological contraindications for competitive exercise, you must inform us to what extent your limitations are before commencement of your physical training.
INFORMED CONSENT
In consideration of the acceptance of my application for entry with Performance Resources LLC, I freely agree to and make the following contractual representations and agreements.
I fully realize the dangers involved in exercise / athletic participation and fully assume the risks associated with such participation including, by way of example, and not limitation, the following: the dangers of collision with pedestrians, vehicles, other athletes, and fixed and moveable objects; the dangers arising from surface hazards, equipment failures, inadequate safety equipment, and weather conditions; and the possibility of serious injury or death associated with exercise and athletic competition.
I hereby waive, release and discharge for myself, my heirs, executors, administrators, legal representatives, assigns, and successors in interest (hereinafter collectively “successors”) any and all rights and claims which I have or which may hereafter accrue to me against Performance Resources LLC, its officers and employees, for any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with Performance Resources LLC., or any activities associated with Performance Resources LLC.
PARENT or GUARDIAN of a MINOR: I as parent or guardian of the below named minor, hereby give my permission for my child or ward to participate in the Performance Resources LLC program, and further agree, individually and on behalf of my child or ward, to the terms of the above.
Client / Athlete Signature:
