North Haven CrossFit Drop In Signup

Select the classes on the calendar you'd like to drop into.

The calendar contains North Haven CrossFit's classes they allow drop-ins to attend. You can select as many classes as you'd wish to attend, and your fee will be adjusted accordingly.

Drop In Fee Details

The following invoice shows what you will be charged as you select classes to drop into.

	Date	Time	Class Information	Tax	Total
Total					$0.00

Please enter your information below to register and pay for your drop-in classes

Your Information

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North Haven CrossFit Liability Waiver (7658)

Name:_______________________________________________________________________Date of Birth:_

Address_____________________________________________________________________________________________________________________________________________________

Phone #_(____)______________________________________________________________________________________________________________________________________________

Email address:_____________________________________________________________________________________________________________________________________________

In case of emergency, I would like CrossFit to call:__________________________________________________________________________________________________

Phone #_(____)________________________________________This person is my: (parent, friend, spouse, ect.):___________________________________________

May we add you to our e-mail list to keep you updated on nutrition, fitness, and events?(YES/NO)

WAIVER AND RELEASE OF LIABILITY

North Haven CrossFit

88 Leonardo Dr

North Haven, CT 06473

Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s).

I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at CrossFit North Haven. I, the undersigned acknowledge that I have no physical impairments or illness that will endanger myself or others.

Initials:______________________________

Use of picture(s)/films/likeness: I agree to allow CrossFit North Haven, its agents, officers, principals, employees and volunteers to use picture(s), film and/likeness of me for advertising purposes. In the event I choose not to allow the use of the same for said purpose, I agree that I must inform CrossFit North Haven of this in writing.

Initials:______________________________

Release: In consideration of the above mentioned risk and hazards and in consideration of the fact that I am willing and voluntarily participating in the activities available at CrossFit North Haven, I, the undersigned hereby release CrossFit North Haven, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties.

This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.

If I am signing on behalf of a minor child, I also give full permission for any person connected with CrossFit North Haven to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

Indemnification: The participant recognizes that there is risk involved in the types of activities offered by CrossFit. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting of their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit, North Haven their principals, agent, from my negligent or intentional act or omission while participating in activities offered by CrossFit.

I have read and understand the foregoing assumption or risk, and release of liability and I understand that by signing it obligates me to indemnify the parties names for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

Signature of participant___________________________________________________________________________________________________________Date_________________

If the participant is under the age of 18,

Signature of Parent or Guardian: ________________________________________________________________________________________________Date_________________

(Parent/Guardian) Print Name____________________________________________________________________________________________________________________________

Name of Referral:___________________________________________________________________________________________________________________Date_________________

Please answer the following questions

Covid-19 Waiver: Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have limited the amount of people congregating in groups. North Haven CrossFit has put in place preventative measures per the State of CT guidelines to reduce the spread of COVID-19; however, North Haven CrossFit cannot guarantee that you will not become infected with COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you may be exposed to or infected by COVID-19 by attending North Haven CrossFit and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at North Haven CrossFit may result from the actions, omissions, or negligence of myself and others, including, but not limited to, North Haven CrossFit employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at the North Haven Crossfit. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless North Haven CrossFit’s employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of North Haven Crossfit, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any North Haven CrossFit program.

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