Schedule

Boxing/Fitness Waiver/Release Form
For and in consideration of TE ARA WHAKAMUA, and FLAVELL BOXING. permitting the participant to enrol and participate in a boxing/fitness training class(es). Participant by signing below, voluntarily releases from liability, indemnifies, and holds harmless TE ARA WHAKAMUA, and FLAVELL BOXING. and its owners, officers, directors, employees, affiliates and advisors and the facilities (collectively, "TE ARA WHAKAMUA, and FLAVELL BOXING") from and for any accident, injury, illness, death, loss, damage to person or property or other consequences suffered by Participant or any other person arising or resulting directly or indirectly from Participant's participation in the boxing/fitness training class(es). In the event that the Participant is injured, Participant agrees to assume any financial obligation, either through Participant's personal health insurance, or through some other means, for any medical costs which Participant incurs. TE ARA WHAKAMUA, and FLAVELL BOXING assumes no responsibility for any medical expenses, injury, or damage suffered by Participant in connection with the use of the facilities, equipment or services in connection with the boxing/fitness training class(es).
IT IS THE INTENTION OF PARTICIPANT BY SIGNING BELOW TO EXPRESSLY ASSUME
ALL RISK OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE UPON
HIM/HERSELF, TO THE EXCLUSION OF TE ARA WHAKAMUA, and FLAVELL BOXING. AND TO EXEMPT AND RELIEVE TE ARA WHAKAMUA, and FLAVELL BOXING. FROM LIABILITY FOR ANY & ALL PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH.

Participant further agrees that Participant, his/her spouse, assignees, heirs, guardians, and legal
representatives will not make any claim against, sue or attach TE ARA WHAKAMUA, and FLAVELL BOXING. for any loss or damage resulting from Participant's participation in the boxing/fitness training class(es) or use of the facilities, equipment or services.
PARTICIPANT IS AWARE THAT HE OR SHE WILL BE ENGAGING IN A RANGE OF
ACTIVITIES INCLUDING, BUT NOT LIMITED TO, JUMPING, STRETCHING, TURNING,
LIFTING,PUNCHINGAND TWISTING. _______ Initial

(Initial) PARTICIPANT IS AWARE OF THE POTENTIAL DANGERS INCIDENTAL TO ENGAGING IN BOXING/FITNESS ACTIVITIES WHICH INCLUDE BUT ARE NOT LIMITED TO STRAINS, SPRAINS, TEARS, AND BROKEN BONES. ________ Initial PARTICIPANT AGREES THAT THIS IS A RELEASE OF LIABILITY, A WAIVER OF THE PARTICIPANT'S LEGAL RIGHT TO COLLECT DAMAGES IN THE EVENT OF INJURY, DEATH OR PROPERTY DAMAGE AND A CONTRACT BETWEEN PARTICIPANT AND TE ARA WHAKAMUA, and FLAVELL BOXING. AND PARTICIPANT SIGNS IT OF HIS/HER OWN FREE WILL.

Print Name of Participant: {name} - Full name

Age of Participant: {dob} - Date of birth

Participant's Signature: - Required text input

If Participant is under 18, Signature of parent or legal guardian: - Name of the member or guardian signing the document (if applicable)

Date: {sign_date}