Please read the waiver, release, and assumption of risk below and complete the form...
Waiver, Release and Assumption of Risk - CSTS
As an athlete (or as a parent/guardian of the athlete named on this form), I have volunteered to participate myself or an athlete, for whom I am responsible for, in a program of physical exercise under the direction of Carter Schmitz Training Systems LLC, which will include, but may not be limited to, weight, speed, agility, and/or resistance training. In consideration of Carter Schmitz Training Systems LLC agreement to instruct, assist and train the athlete named above, I do here and forever release and discharge and hereby hold harmless Carter Schmitz Training Systems LLC and their employees from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with participation in this or any exercise program including any injuries resulting therefrom. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF EXERCISE AS PRESCRIBED BY Carter Schmitz Training Systems LLC.
I recognize that exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure; fainting; disorders in heartbeat, heart attack and, in rare instances, death. I understand that as a result of participation in an exercise program, an individual could suffer an injury or physical disorder that could result in becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life. I recognize that an examination by a physician should be obtained by all participants prior to involvement in any exercise program. If I have chosen not to obtain a physician’s permission prior to beginning this exercise program with Carter Schmitz Training Systems LLC, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which the athlete named above participates. I acknowledge and agree that no warranties or representation have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary. I ACKNOWLEDGE THAT I HAVE THOUROGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST Carter Schmitz Training Systems LLC FOR NEGLIGENCE OR THAT OF ANY EMPLOYEES.
I hereby grant Carter Schmitz Training Systems LLC permission to use my (or my athlete's) likeness in a photograph, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration.
I hereby irrevocably authorize Carter Schmitz Trainign Systems LLC to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my (or my athlete's) likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge Carter Schmitz Training Systems LLC and Carter Schmitz from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I understand that my participation is voluntary and that I may, at any time, discontinue my involvement. If I choose to discontinue participation, I will notify the principal parties Carter Schmitz Training Systems LLC and Carter Schmitz by providing written notice.
I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.