PLEASE READ CAREFULLY. TO BECOME A MEMBER OF NORCAL, YOU AGREE TO THE FOLLOWING:
DISCLOSURE AND RELEASE
Disclosure and Release – Please Read – Participating in powerlifting, like most sports, has associated risks of injury. By signing below, should I choose to compete and/or participate in a NorCal Powerlifting competition, I recognize and assume the risk of competing and participating in a NorCal Powerlifting meet, and I assume the risk of injury and serious injury. I know that NorCal Powerlifting strongly recommends that I consult my health care provider before competing in the sport of powerlifting to determine whether I am healthy enough to compete. By signing below, I assume the responsibility of choosing to compete whether or not I choose to consult my health care provider. Further, I fully understand that I may injure myself during the competition, including warming up; however, I hereby release NorCal Powerlifting and Raw Sports Performance, its officers, governing board, and employees, the meet directors of any meet that I might compete in, the loaders and spotters who may assist me during the competition, and all referees and officials who conduct the meet for any injury that I may sustain during my warm ups or during the competition, even if I claim or allege that my injury was caused by the fault and negligence of any of the parties that were listed above. Should I compete in a state where I am not able to release a party for fault or for negligence, I intend this release to be applied and interpreted in its fullest capacity and authority according to the applicable law.
In consideration of NorCal Powerlifting accepting by membership and permitting me to compete or otherwise participate in a NorCal Powerlifting meet, I, for myself, my personal representatives, administrators, heirs, and assigns, hereby hold harmless NorCal Powerlifting and Raw Sports Performance, its officers, governing board, and employees, the meet directors of any meet that I might compete in, the loaders and spotters who may assist me during the competition, and all the referees and officials from any claims, demands, and causes of action, including reasonable legal fees, arising from my participation in NorCal Powerlifting and from my competing in a NorCal Powerlifting sanctioned competition, whether the competition is held in the United States or abroad. I also know that before I sign this Disclosure and Release, I may consult an attorney of my choice to determine whether it is in my best interest to sign this. By signing below, I affirm that I have read the above, understand it, and agree to it.
CONDITION OF MEMBERSHIP
As a condition of membership to NorCal Powerlifting, I agree to follow and obey all rules, regulations, and drug testing procedures. I further agree that the rules, regulations, and drug testing procedures are subject to change at any time and that I agree to obey any new or changed rules, regulations, and drug testing procedures as a condition of continued membership. I agree that my membership may be revoked temporarily or permanently, suspended, and/or denied for my failure to obey NorCal Powerlifting rules, regulations, and drug testing procedures. I will voluntarily submit to any drug testing procedure that NorCal Powerlifting has approved in its rules, regulations, and drug testing procedures.
For purposes of this “Member Release” document, “Membership/Event” means participation in any Raw Sports Performance & Center for Strength and or NorCal Powerlifting activity/training/workout or Event that I may attend now or in the future, at any location, any and all transportation to, from and between any Raw Sports Performance & Center for Strength and/or NorCal.Powerlifting activity/workout/training or Event and ALL workout locations, all product testing at any activity/training/workout or Event, and all other activities related to my participation in any Raw Sports Performance & Center for Strength and or NorCal Powerlifting training/workout/or clinic. In consideration of the opportunity to participate in any activity/training/workout or Event, (the receipt and sufficiency of which is hereby acknowledged), I hereby irrevocably and unconditionally for myself, my heirs, estate, insurers, successors and assigns, agree as follows:
ASSUMPTION OF RISK
Raw Sports Performance & Center for Strength or NorCal Powerlifting have made no representation to me as to the suitability, condition, or safety of any activity/training/workout or Event and I acknowledge that participation in any activity/training/workout or Event may involve risks and dangers of accidents, personal and bodily injury and property loss or MM / DD / YY damage. I confirm that I am in good health and have no medical or health condition that could endanger or limit my ability while participating in any activity/workout/training or Event. I understand and have considered and evaluated the nature, scope and extent of the risks involved, and I voluntarily and freely choose to assume these risks. In addition, I agree to comply with the reasonable instructions of the activity/workout/training or Event coaches during the course any activity/workout/training or Event. I further agree and warrant that if at any time I believe conditions to be unsafe; I will immediately discontinue further participation in the activity/workout/training or Event.
INSURANCE
I understand that neither Raw Sports Performance & Center for Strength and or NorCal Powerlifting provide any insurance, whether life or medical or liability, for any illness, accident, injury, loss or damage that may arise in connection with my participation in any activity/training/workout or Event.
INDEMNITY
To the maximum extent permitted by applicable law, I hereby irrevocably and unconditionally agree to hold harmless, indemnify and reimburse Raw Sports Performance & Center for Strength and or NorCal Powerlifting from and against any claim, sum, costs, damages or expenses (including reasonable legal fees) arising in connection with any accident, loss or damage arising out of my attendance or participation in any activity/training/workout or Event.
LIABILITY
To the maximum extent permissible under law, I agree that any liability of Raw Sports Performance & Center for Strength and or NorCal Powerlifting relating to my participation in any activity/workout/training or Event is excluded except in case of negligence or willful misconduct.
FILM AND VIDEO RELEASE
I acknowledge and agree that Raw Sports Performance & Center for Strength and or NorCal. Powerlifting and its associates, affiliates, subsidiaries, licensees, agents, successors, assigns and commercial partners authorized (collectively, “Raw Sports Performance & Center for Strength and or NorCal Powerlifting Group”), may be filming, photographing or otherwise recording my attendance at an activity/training/workout or Event and any related activities for advertising, promotional and/or for Raw Sports Performance & Center for Strength and or NorCal Powerlifting internal purposes. I hereby irrevocably grant the Raw Sports Performance & Center for Strength and or NorCal Powerlifting Group the right to use, in perpetuity, throughout the world and without any compensation, any photograph, video, image or other recorded media or likeness of me for the purpose of advertising, promotion, or any other commercial purpose in connection with any activity/training/workout or Event promotional activities. I also hereby grant Raw Sports Performance & Center for Strength and or NorCal Powerlifting Group permission to display my name, standings and results, in any media and in any manner now known or hereafter developed.
LICENSE TO USE COMMENTS, FEEDBACK AND IDEAS
I hereby grant to Raw Sports Performance & Center for Strength and or NorCal Powerlifting a perpetual license to use all comments, feedback and ideas I may share with them, without notice, compensation or acknowledgement to me, for any purposes whatsoever, including, but not limited to, developing, manufacturing and marketing products and services and creating, modifying or improving products and services.
RAW SPORTS PERFORMANCE & CENTER FOR STRENGTH AND OR NORCAL POWERLIFTING RIGHT TO REFUSE ENTRY
I understand and acknowledge that Raw Sports Performance & Center for Strength and or NorCal Powerlifting shall at all times be entitled to refuse my attendance at, and/or my participation in Event activities in the event I do not comply with this agreement or with the directions of Raw Sports Performance & Center for Strength and or NorCal Powerlifting staff or representatives at any activity/training/workout or Event.
PERSONAL DATA PROTECTION
I understand and agree that in order to participate in any activity/training/workout or Event I am required to supply certain information about myself in this form. Raw Sports Performance & Center for Strength and or NorCal Powerlifting has specified which information is mandatory in order to participate in any activity/training/workout or Event I understand and agree that my personal information will be used by Raw Sports Performance & Center for Strength and or NorCal Powerlifting for the purposes of administering any activity/training/workout or Event and for the specific purposes described in this consent form.
NON TRANSFERABLE: I understand that my participation in any Raw Sports Performance & Center for Strength and or NorCal Powerlifting is non-transferable and is not redeemable for cash.
VALIDITY
If any clause in this agreement is held, in part or in full, to be invalid or unenforceable for any reason, the validity of the remaining clauses of this agreement shall not be affected, and they shall continue to be valid and enforceable. The invalid or unenforceable provision shall be replaced with a valid provision which is as similar as possible in substance to the invalid or unenforceable provision. This form supersedes any oral or written agreement made previously in relation to the activity/training/workout or Event.
I HAVE READ THE ABOVE CAREFULLY, FULLY UNDERSTAND ITS CONTENT, AND VOLUNTARILY AGREE TO ITS TERMS.
IF YOU ARE UNDER THE AGE OF 18 — I UNDERSTAND MY PARENT/GUARDIAN MUST SIGN BELOW (please sign and return to NorCal)
PARENT/GUARDIAN AGREEMENT
I am the parent who has parental authority or the legal guardian of the above named participant and I agree that the participant may take part in the activity training/workout or Event supervised by a suitable Raw Sports Performance & Center for Strength and or NorCal Powerlifting coaches. On behalf of the participant, myself, the participant’s parents or guardians, heirs, estate, insurers, assigns and anyone else who may make any claim for or on behalf of the participant, I hereby unconditionally:
- agree to all of the terms of this agreement;
- agree to cause the participant to comply with the terms of this agreement; and
- hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee’s from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release. i the minor or anyone on the minor’s behalf makes a claim against any of the releasees name above, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim.
I AM THE PARENT WHO HAS PARENTAL AUTHORITY OR LEGAL GUARDIAN OF THE BELOW NAMED PARTICIPANT WHO IS AGED UNDER 18 AND I HAVE READ THE ABOVE CAREFULLY, FULLY UNDERSTAND ITS CONTENT, AND VOLUNTARILY AGREE TO THESE TERMS ON BEHALF OF THE PARTICIPANT.
Name of parent or legal guardian: __________________________________________________
Parent or legal guardian’s signature: __________________________________________________
Date: ______________________________________________
Parent or legal guardian’s phone number: ______________________________________________