Please discuss any of the above pertinent questions with your coach.
Waiver & Release of Liability & Health Assessment
Brown Fitness LLC DBA CrossFit Gulch
INFORMED CONSENT/ASSUMPTION OF RISK
I agree to participate in classes and/or train in the facility
sponsored by Brown Fitness LLC DBA CrossFit Gulch, which may include, but not necessarily limited to
CrossFit Training, and/or training of any kind by any affiliate, subsidiary or partnership of Brown Fitness,
LLC DBA CrossFit Gulch (hereinafter collectively referred to as CrossFit Gulch). CrossFit Gulch made
me fully aware that the fitness programs/classes which CrossFit Gulch offers and in which I desire to
participate are of a nature and kind that are extremely strenuous and can/may push me to the limits of my
physical abilities. I the undersigned recognize and understand that the programs/classes are not without
varying degrees of risk which may include, but are not limited to the following:
Injury to the musculoskeletal and/or cardio respiratory systems 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, or injury or death due to a medical condition,
whether known or unknown by me. 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 any and all risks that I am exposing myself to as a result of
my participation in CrossFit Gulch programs/classes and accept full responsibility for any injury or death
that may result from participation in any activity, class or physical fitness program. I hereby certify that I
know of no medical problems that would increase my risk of illness and injury as a result of participation in
a fitness program designed by CrossFit Gulch. CrossFit Gulch informed me that there exists the
possibility of adverse physical changes during an exercise program, and I fully understand the same.
CrossFit Gulch informed me that these changes could include abnormal blood pressure, fainting, disorder
of heart rhythm, stroke, and in very rare instances, heart attack or even death, and I fully understand the
same. With my full understanding of the above information, I agree to assume any and all risk associated
with my participation in CrossFit Gulch fitness programs/classes. !!
In full consideration of the above mentioned risks and hazards and in full consideration of the fact that I
am willingly and voluntarily participating in the activities made available by CrossFit Gulch, and with my
full understanding of all of the above, I hereby waive, release, remise and discharge CrossFit Gulch and
its agents, officers, principals and employees and volunteers, of any and all liability, claims, demands,
actions or rights of action, or damages of any kind related to, arising from, or in any way connected with,
my participation in Hyperfit USA fitness programs/classes, 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. !
Indemnification: I recognize that there is risk involved in the types of activities offered by CrossFit Gulch.
Therefore I accept financial responsibility for any injury that I, or 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 on 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
Gulch, their principals, agents, employees, and volunteers from liability for the injury or death of any
person(s) and damage to property that may result from my negligent or intentional act or omission while
participating in activities offered by CrossFit Gulch. !
Minors: If I am signing on behalf of a minor child, I also give full permission for any person connected
with the CrossFit Entities to administer first aid deemed necessary, and in case of serious illness or injury,
I give full 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. !
Use of picture(s)/film/likeness: I agree to allow CrossFit Gulch, CrossFit, Inc., Steve’s Club Nashville,
and Steve’s Club National Program its agents, officers, principals, employees and volunteers the use of
picture(s), film and/or 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 Gulch of this in writing. !
Rhabdomyolysis (Rhabdo): Can you "overdo it” when working out? Of course you can, and at some
point we all do it to a certain extent. You want to make sure that plain old soreness, not pain, is all you
get. There is a reason people ease into these workouts. Because of the fact that CrossFit produces a
strong adaptation from your body, there is a potential to get a negative systemic response if you go too
hard when starting out.
A condition called Rhabdomyolysis can occur with extremely hard efforts or workouts. Your body can
handle a certain amount of muscle damage from working out, this is how we "grow” our muscles. By
repeatedly taxing muscle tissue, then rebuilding that tissue, our muscles get stronger. If you overdo it you
can cause so much muscle damage that the waste materials end up in your kidneys, where normally
those wastes go, but in smaller amounts. If you have trashed your muscle tissue by exerting too hard,
you can have serious kidney problems. In some rare cases this has led to death. You can avoid this by
using common sense and following the most basic rules of CrossFit: Leave your ego at the door.
How do you avoid Rhabdo? Stay hydrated. Drink a lot of water every day whether working out or not.
Practice good nutrition habits. Don’t starve yourself or eat "junk food.” You need natural minerals and
vitamins. They don’t all come from a designer shake and you need the fiber from normal vegetable intake
as well. Sleep well, limit stress, and chiefly, ease into this. CrossFit will be here the rest of your life, enjoy
it. There will be plenty of time to get your butt kicked by fun/hard workouts!
I am aware that there are significant risks involved in all aspects of physical training including
Rhabdomyolysis. I understand and agree that I am voluntarily participating in physical activities which
may expose me to this risk. !
I have fully read and fully understand the foregoing assumption of risk, and release of liability and
I understand that by signing it obligates me to indemnify the parties named 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. !!