Free Classes For First Responders Signup Form

CUS BOXING GYM WAIVER AND RELEASE OF LIABILITY

IN CONSIDERATION OF

The inherent risks involved in participating in BOXING or GENERAL FITNESS activities (hereinafter referred to as the “Activity”), and my voluntary decision to engage in such Activity at CUS BOXING GYM, located at 354 Woodmont Rd, Unit 15 & 16, Milford, Connecticut 06460, I, {name}, on behalf of myself, my heirs, executors, administrators, assigns, and personal representatives (hereinafter collectively referred to as "Releasor," "I," or "me"), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY.

1. ASSUMPTION OF RISK

I acknowledge and understand that participation in boxing and fitness activities involves inherent risks, including but not limited to:

• Physical injuries such as sprains, fractures, dislocations, concussions, paralysis, or death

• Psychological injuries such as emotional distress, anxiety, or trauma

• Health risks including dehydration, overexertion, or cardiovascular complications

• Injuries resulting from the negligence of Cus Boxing Gym, its employees, agents, trainers, or representatives

I acknowledge that these risks may arise from my own actions, the actions of others, conditions at the facility, or issues related to equipment failure or improper maintenance. I voluntarily assume all risks, both known and unknown, related to my participation in the Activity.

2. WAIVER AND RELEASE OF LIABILITY

I, on behalf of myself and my representatives, irrevocably waive, release, and forever discharge Cus Boxing Gym and its owners, managers, employees, trainers, agents, contractors, volunteers, affiliates, successors, and assigns (hereinafter "Releasees") from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, illness, or death that may occur as a result of:

• My participation in the Activity

• The negligence of Cus Boxing Gym, its staff, trainers, or other participants

• The conditions of the facility, equipment, or training environment

This release does not extend to claims arising from gross negligence, willful misconduct, or intentional harm by Cus Boxing Gym or its staff. However, I understand that proving such claims is my burden and that normal risks of training injuries do not constitute gross negligence.

I further waive and release any claims against Cus Boxing Gym arising from the actions or negligence of other participants, including but not limited to injuries caused by accidental contact, collisions, improper technique, reckless behavior, or intentional misconduct by other gym members.

3. INDEMNIFICATION

I agree to indemnify, defend, and hold harmless the Releasees from and against any claims, lawsuits, liabilities, damages, costs, and expenses, including but not limited to attorney’s fees, brought by me or on my behalf relating to my participation in the Activity.

4. EMERGENCY MEDICAL CARE

In the event of an emergency, I authorize Cus Boxing Gym to provide or arrange for emergency medical treatment as deemed necessary, including but not limited to:

• First aid, CPR, or emergency transport

• Disclosure of medical information to emergency personnel

I acknowledge that I am financially responsible for any medical costs incurred and understand that I should maintain my own health insurance.

5. PHOTO & VIDEO RELEASE

I acknowledge and agree that Cus Boxing Gym may take photographs, record videos, and live-stream classes, training sessions, and events for promotional purposes, including but not limited to social media, advertisements, and marketing campaigns.

I grant Cus Boxing Gym full rights to use my image, likeness, and voice in such materials without compensation. I understand that my participation in any activity at Cus Boxing Gym constitutes my consent to be recorded and included in promotional content.

6. GOVERNING LAW & JURISDICTION

This waiver shall be governed by and construed in accordance with the laws of the State of Connecticut. Any disputes arising out of this agreement shall be resolved exclusively in the courts of New Haven County, Connecticut.

7. SEVERABILITY

If any provision of this waiver is found to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect.

8. AGREEMENT TO ARBITRATION & WAIVER OF JURY TRIAL

I agree that any dispute, controversy, or claim arising out of or relating to this agreement shall first be subject to mandatory mediation before proceeding to binding arbitration in accordance with the rules of the American Arbitration Association (AAA), my participation in Cus Boxing Gym activities, or any injuries sustained shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association (AAA). I further waive my right to a jury trial in any legal proceeding related to this agreement.

9. NO REFUNDS POLICY

I understand and agree that all membership fees, class fees, and other payments made to Cus Boxing Gym are non-refundable, regardless of attendance, participation, or early termination of membership.

10. COMPLIANCE WITH GYM RULES

I acknowledge that I have read and understand Cus Boxing Gym’s policies, rules, and safety guidelines. I agree to abide by all rules and follow all instructions given by Cus Boxing Gym staff. Failure to do so may result in termination of my participation without refund. I waive any claims arising from injuries or incidents resulting from my violation of gym policies.

11. ASSUMPTION OF RISK FOR EQUIPMENT USE & SPARRING

I understand that using boxing equipment (including but not limited to heavy bags, speed bags, weights, jump ropes, and gloves) and participating in sparring or contact drills carries inherent risks. I assume all associated risks and release Cus Boxing Gym from any claims arising from equipment use or sparring, whether supervised or unsupervised.

12. WAIVER OF CLAIMS FOR ILLNESS & INFECTIOUS DISEASES

I understand that participation in gym activities may expose me to contagious diseases, including but not limited to COVID-19, influenza, and skin infections. I voluntarily assume all risks associated with such exposure and waive any claims against Cus Boxing Gym related to illness or infections contracted at the facility.

13. INJURY REPORTING REQUIREMENT

I agree to report any injuries, accidents, or health issues occurring at Cus Boxing Gym immediately to a staff member. I acknowledge that failure to report an injury at the time of occurrence may limit my ability to make any future claims.

14. CONDUCT & EXPULSION POLICY

I acknowledge that Cus Boxing Gym maintains a safe and respectful training environment. I agree to follow all rules, respect staff instructions, and conduct myself in a manner that does not endanger others.

I understand that Cus Boxing Gym reserves the right to revoke my membership and deny access to the facility without refund if I engage in unsafe, disruptive, or inappropriate behavior, including but not limited to: harassment, excessive aggression, failure to follow safety protocols, or refusal to comply with staff instructions.

15. FITNESS & MEDICAL CLEARANCE

I acknowledge that boxing and fitness training at Cus Boxing Gym involves high-intensity physical activity. I affirm that I am physically capable of participating and have consulted with a physician regarding any pre-existing medical conditions that may affect my ability to engage safely in these activities.

I agree that Cus Boxing Gym is not responsible for any medical complications arising from my failure to disclose health conditions or obtain proper medical clearance.

16. ACKNOWLEDGMENT & ACCEPTANCE

I acknowledge that I have read and fully understood this waiver. I am aware that by signing this document, I am waiving significant legal rights, including the right to sue Cus Boxing Gym.

By signing below, I confirm that I am at least 18 years old or that my parent/guardian has signed on my behalf.

Participant Name: {name} Participant Signature: Date: {sign_date}

Parent/Guardian Name (if participant is under 18): Parent/Guardian Signature: Date: {sign_date}