The following invoice shows what you will be charged as you select classes to drop into.
In consideration for said membership, I hereby agree and warrant that:
Statement and Assumption of Risk
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 negligence on the part of myself, my training partner, and other people around me; injury or death due to improper use of or the failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself. I understand that I have an increased chance of suffering personal injury, including but not limited to bodily harm, permanent disability, dismemberment, and/or death by attending or participating in any RoxFire Fitness/RF1 CrossFit event, activity or class. 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 RoxFire Fitness/RF1 CrossFit event, activity or class.
Release of Liability and Indemnification Statement
I understand that there are unavoidable risks involved with participation as a client/member of RoxFire Fitness/RF1 CrossFit, and I, individually, and on behalf of my minor child (if applicable), and on behalf of my heirs, successors, assigns, and personal representatives, hereby agree to indemnify and hold harmless and release and forever discharge LJ Regine, individually, RoxFire Fitness/RF1 CrossFit, All In 1 Insurance Agency, their principals, agents, employees, independent contractors, and volunteers, from any and all liability and all claims and causes of action whatsoever for any damages to or loss of property, personal illness, or injury (including death) caused by, deriving from, or associated with my and/or my minor child’s participation in any RoxFire Fitness/RF1 CrossFit event, activity or class (including rest rooms and shower facilities) and this release specifically includes but is not limited to any negligence on the part of LJ Regine, as well as any negligence on the part of any employees and independent contractors of RoxFire Fitness/RF1 CrossFit, and All In 1 Insurance Agency.
Statement of Health
I certify that I have neither a condition nor circumstance that would prevent me from participating in any RoxFire Fitness/RF1 CrossFit event, activity or class. I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.
If I have a question concerning my specific health situation, I confirm that I will immediately alert RoxFire Fitness/RF1 CrossFit and seek medical clearance before proceeding with any activity or class.
If I am signing on behalf of a minor child, I hereby certify that said minor child has neither a condition nor circumstance that would prevent them from participating in any RoxFire Fitness/RF1 CrossFit event, activity or class. If I have a question concerning the minor child’s specific health situation, I confirm that I will immediately alert RoxFire Fitness/RF1 CrossFit and seek medical clearance for that minor child before said minor child proceeds with any activity or class. I also give full permission for RoxFire Fitness/RF1 CrossFit 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 myself and/or my child and to have myself and/or my child transported to a medical facility deemed necessary.
Participants involved in any activities offered by RoxFire Fitness/RF1 CrossFit may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the RoxFire Fitness/RF1 CrossFit website or in any editorial, promotional or advertising material produced and/or published by RoxFire Fitness/RF1 CrossFit.
Statement of Insurance
I am aware that RoxFire Fitness/RF1 CrossFit does not provide medical insurance coverage for its clients/members and therefore I take full responsibility for procuring my personal insurance and any minor child, if applicable. If I/minor child do not have insurance, I accept full, sole and exclusive financial responsibility for the cost associated with any injury or illness suffered by myself and/or my minor child while participating in any RoxFire Fitness/RF1 CrossFit activity, class or event.
Choice of Law: Venue Selection
In the event of a lawsuit premised on my or my minor child’s participation in any RoxFire Fitness/RF1 CrossFit activity, class or event, I agree that all causes of action will be filed in Broward County, Florida, and that this Agreement shall be construed in accordance with the laws of the State of Florida.
If any term or provision of this Agreement shall be held illegal, unenforceable, or in conflict with any law governing this Agreement, the validity of the remaining portions shall not be affected thereby.
I confirm that I am over 18 and I execute this document with full knowledge of the contents and consequences stated in this Agreement.