Name *

First Name

Last Name

Gender

Male

Female

Other (please specify below)

Date of birth

MM

DD

YYYY

Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Phone

(###)

###

####

1. Assumption of Risk *

I acknowledge that participation in activities at Unit 54 (including CrossFit classes, open gym, competitions, and events) involves inherent risks of physical injury or death. I understand that such activities involve strenuous physical movement and carry a risk of injury from falls, equipment use, other participants, or medical conditions. I knowingly and freely assume all such risks, both known and unknown, and take full responsibility for my participation.

I agree

2. Health and Medical Declaration *

I confirm that I am physically fit and have no medical condition that would prevent me from safely participating in physical activity. I understand it is my responsibility to consult a medical professional prior to participation if I have any concerns about my health or fitness. I agree to inform Unit 54 staff of any existing injuries or conditions that may affect my ability to participate.

I agree

3. Waiver and Release of Liability *

In consideration of being allowed to participate in activities at Unit 54, I hereby waive, release, and discharge Unit 54, its owners, directors, coaches, employees, contractors, and volunteers from any and all claims, liabilities, damages, or causes of action arising from or related to my participation, including personal injury, illness, death, or property damage. This waiver applies to all claims resulting from negligence, to the fullest extent permitted by law.

I agree

4. Legal and Safety Restrictions *

I confirm that I am not currently subject to any of the following: 1. Active criminal charges 2. Probation or parole conditions 3. Electronic monitoring (e.g. ankle bracelet) 4. Any other legal restrictions or obligations that may impact the safety, comfort, or wellbeing of others I understand that individuals under any of the above conditions are not permitted to attend Unit 54, including classes, open gym, or events. I acknowledge that failure to disclose this information may result in immediate termination of membership without refund.

I agree

5. Code of Conduct *

I agree to abide by the community standards of Unit 54, which include: 1. Respecting coaches, staff, and fellow members 2. Using equipment safely and appropriately 3. Following gym rules and coach instructions 4. Maintaining a safe and supportive environment

I agree

6. Media Release (Optional – tick to agree) *

I grant Unit 54 permission to use photos or video of me taken during classes or events for promotional and social media purposes. I understand I can withdraw this consent at any time by notifying the gym in writing.

I agree

I don't agree

Participant Acknowledgement *

I have read and understood this waiver and agree to the terms and conditions listed above. I acknowledge that I am signing this waiver voluntarily and intend for it to be legally binding.

I agree

I don't agree