Kirkland CrossFit's 2014 FF/PD CrossFit Challenge

WHEN: Sunday, September 28, 8:45-3:00pm
WHERE: Home of Kirkland CrossFit North, 10822 117th Pl NE Kirkland, WA 98033
WHO: Firefighters, Police Officers, Military Personnel (active and reservist), and athletes who want to fundraise for a worthy cause
WHY: Raise money for Paul Gardner's Veterans Pain Relief Fund www. paulgardnerveteranspainrelieffoundation.org
COST:$40. Paypal prior to event, CASH or CHECK day of event
CONTACT: John Burrow john@northshorefirefoundation.org

Kirkland CrossFit's Firefighter/Police CrossFit Challenge Waiver

GENERAL STATEMENT OF PROGRAM OBJECTIVES AND PROCEDURES:

I understand that this physical fitness program includes exercises to build the cardio respiratory system (heart and lungs), the musculoskeletal system (muscle endurance and strength, and flexibility), and to improve body composition (decrease of body fat in individuals needing to lose fat, with an increase in weight of muscle and bone). Exercise may include aerobic activities, callisthenic exercises, gymnastics and weight lifting to improve muscular strength and endurance and flexibility exercises to improve joint range of motion.

DESCRIPTION OF POTENTIAL RISKS:

I understand and warrant, and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, or comfort, or physical condition if I engage or participate (other than those items fully discussed on health history form). I state that I have had a recent physical checkup and have my personal physician’s permission to engage in aerobic and/or anaerobic conditioning.
I understand that the reaction of the heart, lung, and blood vessel system to exercise cannot always be predicted with accuracy. I know there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. Use of the weight lifting equipment, and engaging in heavy body calisthenics may lead to musculoskeletal strains, pain and injury if adequate warm-up, gradual progression, and safety procedures are not followed. I understand that Kirkland CrossFit shall not be liable for any damages arising from personal injuries sustained by buyer while and during Kirkland CrossFit's FIREFIGHTER/POLICE CROSSFIT CHALLENGE. Buyer using the exercising equipment during Kirkland CrossFit's FIREFIGHTER/POLICE CROSSFIT CHALLENGE does so at his/her own risk. Buyer assumes full responsibility for any injuries or damages which may occur during the training. I hereby fully and forever release and discharge seller, (a) Northshore Fire Foundation, Paul Gardner's Veterans Pain Relief Fund, CrossFit Inc., Kirkland Fitness Group, LLC, Kirkland Crossfit, Kirkland CrossFit North, Kirkland Fitness Foundation, and any of their owners, members, managers or agents (b) Tennis Outreach Programs and their board of directors, and (c) NW High Performance Tennis LLC from all claims, demands, damages, rights of action, present and future therein related to my participation in those events of Kirkland CrossFit's FIREFIGHTER/POLICE CROSSFIT CHALLENGE, its assigns and agents from all claims, demands, damages, rights of action, present and future therein. I understand and warrant, release and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, or comfort, or physical condition if I engage or participate (other than those items fully discussed on health history form). I state that I have had a recent physical checkup and have my personal physician’s permission to engage in aerobic and/or anaerobic conditioning.

I have read the foregoing information and understand it. Any questions which may have occurred to me have been answered to my satisfaction. By completing this registration form and/or by submitting payment to participate as an athlete in Kirkland CrossFit's FIREFIGHTER/POLICE CROSSFIT CHALLENGE, I am using such agreement as my electronic signature.

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question