THUNDERBIRD PERFORMANCE INTAKE FORM

WHAT ARE YOU INTERESTED IN? (check all that apply)

PREFERRED VIDEO MEETING TIME

WHICH DAY'S ARE BEST FOR YOU?
TIME OF DAY

 WAIVER AND RELEASE OF LIABILITY

READ BEFORE SIGNING

 

 

 

 

 

 

 

acknowledges, understands, agrees, and stipulates that:

  1. Participation in sports/athletic training with PROVIDER does/may carry with it some inherent risk of injury, and while particular rules, guidelines, training methodologies, equipment, and personal discipline will be used to reduce this risk, the risk of injury, including serious injury and even possibly death, does exist; and,

  2. That with an appreciation and awareness of these potential risks, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OR RECKLESSNESS OF PROVIDER, or others working or acting on their behalf, and I hereby assume full responsibility for my participation in any such Activities with PROVIDER; and,

  3. I willingly agree to comply with the stated and customary terms and conditions for participation as expressed to me by PROVIDER, as well as the use of common sense. I further agree that should I observe, feel, notice, or believe I am experiencing any unusual side effects, conditions, injuries, or any other possible hazard during my participation in any Activities, I will immediately remove myself from any and all said participation, and will immediately bring such to the attention of PROVIDER; and,

  4. I, TRAINEE, on behalf of myself and any of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE RELEASEES, which includes THUNDERBIRD PERFORMANCE - PROVIDER, and any and all of their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of any premises and/or equipment used to conduct any related events or activities by PROVIDER (collectively the “RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OR RECKLESSNESS OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

 

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