Jimenez Boxing Club LLC
Release/Waiver of Liability/Indemnity Agreement
In consideration of being allowed to participate in boxing activities, training, and programs of Jimenez Boxing Club LLC and use of facilities and equipment, I do hereby waive, release, covenant not to sue and forever discharge Jimenez Boxing Club LLC and its officers, members, agents, employees, representatives, executors, and all others from any and all responsibilities or liabilities from injures or damages resulting from my participation in any activities or my use of equipment and facilities in the above mentioned Club. I do hereby release all those mentioned and any others acting on their behalf from any responsibility or liability for any injury or damage to myself including those caused by negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or connected with my participation in any activities of Jimenez Boxing Club LLC or the use of any equipment at Jimenez Boxing Club LLC.
I understand and am aware that boxing and full contact sports and participation in them is a potentially hazardous activity. I also understand that these activities involve risk of injury or even death, and that I am voluntarily participating in these activities. It has been advised that I should make provisions for my coverage of liability within my own insurance policy.
I acknowledge that I have and am hereby advised to seek and obtain necessary medical clearances from my physician to undertake the physical examination prior to beginning any exercise activity. I have obtained the necessary medical clearances to participate in activities and programs. I acknowledge that I am physically fir and mentally capable of performing the physical activity I choose to participate in. i am in good health not under the influence of any substance and I am capable of performing the physical activity I choose to participate in.
I hereby agree and consent to voluntarily engage in any and all exercises and physical activity opportunities at Jimenez Boxing Club LLC and to voluntarily use Jimenez Boxing club LLC equipment and facilities at my own risk and with the full knowledge and appreciation of any and all dangers and risks inhibited.
CONSENT TO USE IMAGE
I do hereby give the Jimenez Boxing Club LLC and its designees the irrevocable right to use my photograph and or video imaging as a part of their printed material, social media, website, and any promotional marketing advertisement. I hereby waive all rights to approve the finished project. I also release Jimenez Boxing Club LLC from any claims for compensation associated with any forms of damages, foreseen or unforeseen, associated with the use of images or videos.
SPARRING AND EQUIPMENT USE
I am responsible for providing my own training gloves, and hand wrapes for boxing bag work. If I spar, I am also responsible for all safety gear (including, but not limited to, head gear, sparring gloves, wraps, protectors and mouth guard). I must also have a USA boxing passbook to spar.
IMPORTANT- BEFORE SIGNING
I HEREBY ACKNOWLDGE BY SIGNING THIS FORM ON BEHALF OF MYSELF AND/OR THE CHILD LISTED ON THE MEMBERSHIP APPLICATION, I AGREE THAT THE RELEASE, WAIVER OF LIABILTY, IDEMINITY AGREEMENT, CONSENT, AND ALL OTHER TERMS ABOVE APPLY TO ME AND/OR TO THE CHILD.
****If applicant is less than 18 years of age, a parent or guardian must read above application and give consent on the signature below: