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women classes

Sign-Up & Waiver Form

SIGN-UP & WAIVER FORM

PARTICIPANT INFORMATION

Birthday
Day
Month
Year

MEDICAL INFORMATION

MEDICAL INFORMATION
Yes
No
Are you currently taking any medications?
Yes
No
Do you have any injuries or physical limitations?
Yes
No

TRAINING EXPERIENCE

Previous martial arts experience:
Boxing
Kickboxing
Muaythai
Others
How did you hear about Team Hachem?
Social Media
Friends/Family
Website
Others

PROGRAM SELECTION

Which program are you interested in?
Boxing
Muay Thai
Kickboxing
Fitness
Preferred training schedule:
Morning
Afternoon
Evening
Weekend
Private Class

WAIVER AND RELEASE OF LIABILITY

acknowledge that I am voluntarily participating in boxing and/or kickboxing training activities at Team Hachem. I understand and acknowledge that:


1. ASSUMPTION OF RISK: I am aware that boxing and kickboxing involve inherent risks including but not limited to: physical injury, bruising, cuts, sprains, fractures, concussion, and in rare cases, serious injury or death.

2. PHYSICAL CONDITION: I certify that I am in good physical condition and have no medical conditions that would prevent my safe participation in these activities.

3. MEDICAL CLEARANCE: I understand that it is recommended to consult with a physician before beginning any exercise program.

4. EQUIPMENT AND FACILITIES: I will use all equipment and facilities at my own risk and will inspect equipment before use.

5. INSTRUCTION COMPLIANCE: I agree to follow all instructions given by Team Hachem trainers and staff.

6. RELEASE OF CLAIMS: I hereby release, waive, discharge and covenant not to sue Team Hachem, Joe Hachem, their employees, agents, and representatives from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me while participating in activities.

7. INDEMNIFICATION: I agree to indemnify and hold harmless Team Hachem from any loss or damage arising from my participation in activities.

8. PHOTOGRAPHY/VIDEO CONSENT: I consent to the use of photographs and videos taken during training for promotional purposes. 9. BINDING AGREEMENT: This waiver shall be binding upon my heirs, executors, administrators and assigns.

I HAVE READ THIS WAIVER AND RELEASE, UNDERSTAND ITS TERMS, AND SIGN IT VOLUNTARILY.

Date
Day
Month
Year

PARENT/GUARDIAN CONSENT (For participants under 18) I am the parent/legal guardian of the above-named participant. I have read and understand this waiver and consent to my child's participation in Team Hachem activities.

Date
Day
Month
Year
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