Camel City CrossFit :: Triib, Inc

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1:1 with Ovid

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One on One training session with Ovid

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Camel C (11508)

Dear [athfirstname],
We are up dating to an electrnic wavier which in now available for you to sign at [boxname]. Please come in and sign it at your earliest convenience or by visiting the link below:
[waiverlink]
Thanks,
Camel City Crossfit

Please answer the following questions

Have you ever had any form of heart disease?

Have you ever experienced shortness of breath of chest pains?

Do you have a family history of heart disease?

Do you have knee problems?

Do you have back problems?

Do you have hip/pelvis problems?

Are you currently exercising?

Have you participated in strenuous exercising before?

Is there any reason you should not participate in exercise?

Do you have high blood pressure?

Do you have neck/shoulder problems?

Do you have diabetes?

Do you have any current injuries?

Do you have any allergies?

Are you taking any medications that would effect exercise?

Are you a smoker?

Do you ever get dizzy?

Are there any exercises that you know you cannot do?

If you answered yes to any of these questions, please explain below.

1.I understand the nature of Camel City CrossFit activities and believe I am qualified to participate in such Activity. I further acknowledge that I am aware the activity will be conducted in facilities open to the public during the Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. I FULLY UNDERSTAND that: (a) Camel City CrossFit Activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“Risks”); (b) these Risks and dangers may be caused by my own actions, or inaction’s, the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES incurred as a result of my Participation in the Activity. 3. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS Camel City CrossFit, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place (each considered one of the “Releases” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “Releases” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, or anyone on my behalf makes a claim against any of the Releases named above, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE OR COSTS ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM. 4. CONSENT AND RELEASE FOR USE OF LIKENESS Effective as of the date subscribed to above, approval for past use and permission for present and future use is being granted to Camel City Performance, LLC, doing business as Camel City CrossFit,to use a photo, video, or other image of the undersigned Member. Permission is being given by the undersigned as more fully explained in this Consent and Release. The undersigned is an adult, over the age of eighteen (18) and is fully authorized to sign this Consent and Release. For a valuable consideration, receipt of which is hereby acknowledged, the undersigned hereby grants to Camel City CrossFit, its agents, employees, and licensees all ownership rights and the absolute and irrevocable right and permission to copyright, use and publish photographed likeness of Member that may be obtained pursuant to this Consent and Release. The likeness may be copyrighted, used and/or published individually or in conjunction with other photography or video work and in any medium (such as Facebook) for any lawful purpose, including without limitation, for marketing materials such as trade materials, illustrations, social media advertisements or any other form of promotion. The undersigned represents and warrants that (i) no other party has been granted an exclusive license with respect to the likeness of Member, and (ii) no other party’s authorization or consent is required with respect to the permission granted to the Released Party under this Consent and Release. The undersigned waives any right the undersigned may have to inspect or approve the Member’s use of the likeness or the advertising copy or printed matter that may be used by Camel City CrossFit in any promotional items, as described herein. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND IT’S TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. [initial]

Photography/Video Release Participants involved in any activities offered by Camel City 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 Camel CIty CrossFit website or in any editorial, promotional or advertising material produced and/or published by Camel City CrossFit

* Please use your mouse/finger to sign your name

By clicking this checkbox you agree to online signature signing of this waiver

I consent to conduct electronic business

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There is no fee for this package

About Us

Located right off of Indiana Avenue, our programs are designed to develop core strength and conditioning. We focus on enhancing your overall general physical preparedness. We are not a specialized fitness program but a deliberate attempt to optimize your physical capabilities in each of ten recognized fitness domains: cardiovascular and respiratory endurance, stamina, strength, flexibility, power, speed, coordination, agility, balance and accuracy. With that in mind, we can meet anyone's goals. Our programs are scalable for all fitness levels, age groups and physical limitations.

With over 20 years of combined coaching experience, Camel City CrossFit takes pride in being one of the most knowledgeable and invested CrossFit boxes in Winston-Salem. Our greatest asset at Camel City is our athletes. From standard classes, to specialty classes, to competitions, and outside of the box activities, Camel City CrossFit has helped our members to bond together on another level to create such a great community. Camel City CrossFit; our community makes us stronger.

Contacts

104 Progress Court Suite 60
Winston-Salem, NC 27106
336-439-0990
reggie@camelcitycrossfit.com

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