Granite City CrossFit Drop In Signup
Select the classes on the calendar you'd like to drop into.
The calendar contains Granite City CrossFit's classes they allow drop-ins to attend. You can select as many classes as you'd wish to attend, and your fee will be adjusted accordingly.
Drop In Fee Details
The following invoice shows what you will be charged as you select classes to drop into.
Please enter your information below to register and pay for your drop-in classes
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Granite City CrossFit Liability Waiver (5061)
Express assumption of risk
: I, the unsigned, 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 or other people around me, and injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partners(s). 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 activity or class while at the Granite City CrossFit, LLC ("Granite City") facility.
I, the undersigned acknowledge that I (and those on whose behalf I am executing this document) have no
that will endanger myself or other.
Release & First Aid Authorization:
In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities through Granite City, I, the undersigned hereby release Granite City, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in activities offered by Granite City, wherever located, including those allegedly attributed to the negligent acts or omission of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with Granite City to administer first aid as is deemed necessary at the time, and in case of serious illness or injury, I give full permission to call for medical or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.
Use of photography/video/image likeness:
I agree to allow Granite City and its agents, employees or assigns, the right to us photographs, videos of and/or image likeness of me, and/or the minor child for which I am signing on behalf of, for use in any publication such as advertising, direct mail, brochures, newsletters, display boards, and to use such photographs in electronic version of the same publications or on web sites or other electronic media.
The participant recognizes there is a risk involved in the types of activities offered by Granite City. The participant accepts financial responsibility for any injury that the participant any cause either to him/herself or any other participant, or the property of Granite City or any other property due to his/her actions or omissions, whether such actions occur during activities conducted by Granite City or otherwise.Should the above mentioned parties, or anyone acting on behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to hold harmless Granite City, their principals, agents, employees and volunteers from liability for the injury or death of any person(s)and all damage to the property that may result from my act or omissions at Granite City's facilities or while participating in activities offered by Granite City located elsewhere.
that foregoing provisions and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my act or omissions. I understand that by
this form I am
valuable legal rights.
Please answer the following questions
Will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?
Has a doctor ever said you have a heart condition and recommended only medically supervised activity?
Do you have chest pain brought on by physical activity?
Do you lose consciousness or pass out as a result of dizziness?
Has a doctor ever recommended medication for blood pressure or a heart condition?
Do you have a bone or joint problem that could be aggravated by the proposed physical activity?
Are you aware, through your own experience or doctor's advice, of any other reason against you exercising without medical supervision?
Are you over the age of 65 and and not accustomed to vigorous exercise?
Have you consulted with your physician regarding increasing your physical activity and/or performing a fitness assessment?
If you answered NO to question 8, will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?
Please list any and all previous injuries:
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By clicking this checkbox you agree to online signature signing of this waiver
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