waiver5 OVERTHROW SAFETY WAIVERPlease enable JavaScript in your browser to complete this form.Name *FirstLastOVERTHROW NEW YORK LIMITED WARNING, WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK AND AGREEMENT TO PARTICIPATE THIS AGREEMENT MUST BE SIGNED BY ALL MEMBERS AND ANYONE ELSE WHO WISHES TO PARTICIPATE IN ANY ACTIVITY OR EVENT WITH THE PARTICIPATION OF OVERTHROW NEW YORK LIMITED In consideration of being allowed to participate in any way in Overthrow New York Limited (“Overthrow”) activities, including but not limited to classes, sparring, Stick-N-Move Sparring Club, Private Sessions, and Virtual or Off-Site Workouts I, ________________________, agree, represent, and warrant as follows: 1. I recognize and understand that boxing, martial arts training, and any form of strength training is a physical contact activity and that my participation might result in serious injury, including permanent disability or death and severe social and economic loss. 2. I recognize and understand that such risk may be due to, both my own actions and also the actions, inaction or negligence of others, the regulations of participation, the conditions of the premises, and of the conditions of any of the equipment used. 3. I recognize and understand that there may be other risks that are not known to me or to others or that are not reasonably foreseeable at this time. 4. I agree that I will inspect the facilities and equipment being used and evaluate the pairings with opponents and other participants prior to my participation. I will immediately inform an instructor of Overthrow if I believe that any condition exists in the facilities or equipment, or in any other person with whom I am paired, that is either unsafe or beyond my capability, and in such case I will refuse to participate. 5. I assume all the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death. 6. I am entering martial arts training and competition entirely of my own free will and I understand the importance of following the rules of training and competition. I have been given the rules and regulations of Overthrow New York and I agree to abide by the instructions given. 7. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during intense training practice and/or competition, and I represent and warrant that the foregoing will continue to be true whenever I participate in Overthrow activities. 8. If I am injured, I grant permission to have a doctor, nurse, athletic training or other emergency medical personnel provide me with medical assistance or treatment for such injury. 9. I hereby release, waive, discharge and covenant not to sue, Overthrow New York affiliated organizations and participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and lessors and lessees of the premises from any and all liability to undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release’s or otherwise. I will indemnify and hold harmless Overthrow, its parents, subsidiaries, affiliates, agents, officers, directors, employees, and contractors against all rights, claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by my own actions. I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE AND AGREEMENT TO PARTICIPATE. I UNDERSTAND ITS CONTENTS AND DO HEREBY SIGN IT VOLUNTARILY. _____________________________ [Signature] I HAVE READ AND AGREE TO ABOVE TERMS *YESEmail *Date / TimeDateTimeSIGN HERE _ I HAVE READ AND AGREE TO ABOVE TERMS* Clear Signature Required*Submit