Waiver of Liability

Box ‘N Burn Academy Waiver of Liability

 

I hereby understand and acknowledge that the training, programs, and events held by the Box ‘N Burn Academy may expose me to many inherent risks, including accidents, injury, illness, or even death. I/We assume all risk of injuries associated with participation including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, and all other such risks being known and appreciated by me.

 

I/We hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with participation in activity. I/We acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in.

 

After having read this waiver and knowing these facts, and in consideration of acceptance of my participation and the Box ‘N Burn Academy furnishing services to me, I agree, for myself and anyone entitled on my behalf, to HOLD HARMLESS, WAIVE AND RELEASE the Box ‘N Burn Academy, its trainers, agents, employees, organizers, representatives, and all staff from any responsibility, liabilities, demands, or claims of any kind arising out of my participation in the Box ‘N Burn Academy training, programs, and/or facility at 1654/1650 Lincoln Blvd., Santa Monica, CA 90404 and 11980 San Vicente Blvd. #106 Los Angeles, CA 90049 or any other location Box ‘N Burn Academy is taking place at.

 

By my signature I/We indicate that I/We have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.

 

*** PLEASE WRITE LEGIBLY***

 

Participant’s Name (Please Print): _____________________________________________

Address: _________________________________________________________________

City: ________________________ State: ___________________ Zip: ________________

Phone: _______________________ E-Mail: _____________________________________

Date of Birth: ______________________

In case of emergency, contact: ________________________________________________

Relation: ____________________ Emergency Contact Phone: ______________________

 

Participant’s Signature: ________________________________ Date: ________________

 

 

Phone: 310-407-9676
1654 Lincoln Blvd
Santa Monica, CA 90401

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