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WAIVER AND RELEASE OF LIABILITY 

Participant Information:

Name:                         {name}                                                                                                          

Date of Birth:              {dob}                               Phone:        {phone}                                             

Email:                                                                                                                                    

Emergency Contact:

Name:             {contact_name}                                                                                                        

Phone:             {contact_phone}                    Relationship:               {contact_relation}                        

1.     ASSUMPTION OF RISK

I acknowledge that boxing, fitness training, and related physical activities carry inherent risks, including but not limited to bruises, cuts, broken bones, concussions, heart attacks, and other serious injury or death.  I voluntarily participate in these activities and assume all risks, known and unknown. 

2.     RELEASE OF LIABILITY

In consideration of being allowed to participate in any way at Blackout Boxing & Fitness, LLC, I hereby release, waive, discharge, and covenant not to sue its owners, officers, employees, trainers, volunteers, or other participants (collectively “Releasees”) from any and all liability, claims, demands, or causes of action, including negligence, resulting in personal injury, illness, death, or property damage arising from my participation. 

3.     MEDICAL AUTHORIZATION

I certify that I am physically fit and have no medical condition that would prevent me from safely participating.  I authorize staff to secure emergency medical treatment for me if deemed necessary.

4.     RULES AND CONDUCT

I agree to follow all gym rules and instructions provided by the staff.  I understand that failure to comply may result in removal from the facility without a refund.

5.     MEDIA RELEASE (Optional)

I grant Blackout Boxing & Fitness, LLC permission to use photos, videos, or recordings of me taken during activities for promotional purposes without compensation. 

    I agree      I do not agree

6.     SPARRING WAIVER AND RELEASE

I understand that sparring at Blackout Boxing & Fitness, LLC, involves deliberate physical contact and poses increased risk of injury including, but not limited to, bruises, concussions, broken bones, dental injuries and internal injuries. 

I acknowledge and agree to the following:

·       Voluntary Participation:  I am voluntarily engaging in sparring, fully aware of its risks.

·       Protective Gear Requirement: I agree to wear all require protective gear including but not limited to mouthguard, headgear, hand wraps, and gloves, and understand that failure to do so may result in denial of participation.

·       Medical Clearance: I confirm that I am in good health and physically fit to engage in sparring.  I have no medical conditions that would put me at a greater risk.

·       Supervision & Matchmaking: I agree that sparring will be supervised by a qualified coach and that all pairings will be made at the discretion of the staff to ensure safety and compatibility.

·       No Intent to Harm:  I agree to spar in a controlled and respectful manner, without excessive force or intent to injure.

·       Stop Command: I will immediately stop sparring upon command of a coach or referee and will respect all stoppages or safety calls.

·       Release of Liability: I hereby release Blackout Boxing & Fitness, LLC, its coaches, employees and volunteers from any and all liability for injuries sustained during sparring, whether caused by negligence or otherwise.

       I have read and understand the Sparring Waiver and agree to its terms. 

7.     MINORS (Under 18 Years of Age)

If the participant is under 18, a parent or legal guardian must sign below:

I am the parent/legal guardian of the participant and agree to all the terms above on their behalf.

Signature of Participant:                                                         Date:

                                                                                      {sign_date}               

Signature of Parent/Guardian (if under 18):                           Date:

                                                                                      {sign_date}