Crossfit Registration

Are you a Parent/Guardian or the Athlete Registering?*

Parent/Guardian
Athlete

Parent/Guardian Section

The section below must be completed by the Parent/Guardian of the Athlete, if under the age of 18.

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Enter Email Confirm Email

Athlete Section

The section below must be completed for the Athlete registering for Athlete's Arena services.

Name*

First Last

Gender*

Male
Female

Date of Birth*

MM

DD

YYYY

Address*

Street Address City State ZIP Code

Email*

Enter Email Confirm Email

Phone

How did you hear about us?

Activities you participate in:

Please list any medical issues or previous injuries that may inhibit your training.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*

yes
no

Do you have pain in your chest when you do physical activity?*

yes
no

Do you lose your balance because of dizziness or do you ever lose consciousness?*

yes
no

Do you have a bone or joint problem that could be made worse by a change in your physical activity?*

yes
no

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?*

yes
no

Do you know of any other reason why you should not do physical activity?*

yes
no

Waiver

In checking the box below I agree that Athlete’s Arena is in no way responsible for the safekeeping of my personal belongings while I attend class. I understand that classes at Athlete’s Arena may be physically strenuous and I voluntarily participate in them with full knowledge that there is risk of personal injury, property loss or death. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against Athlete’s Arena or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.

Any training involving a scheduled appointment time must be cancelled 24 hours in advance to avoid charges.

In consideration for the publicity and status, Releasor hereby consents to being the subject of photographs of Releasee, together with any subject matter owned by Releasee, and hereby authorize Releasee to cause the same to be exhibited by Athlete’s Arena, with or without advertising sponsorship as still photographs, transparencies, motion pictures, television, video, or other similar media. Releasor hereby releases, Releasee, and any associates, as well as any assignees, from an and all claims for damage for libel, slander, invasion of privacy, or any other claim based on use of the above described material(s). In witness whereof, Releasor has executed this release at Athlete’s Arena, 1019 Broad Stone Road, Irmo South Carolina 29063 in the County of Richland, on the day and year this form is submitted.

I agree to the terms of the Waiver as stated above and to receive communication from Athlete's Arena via email.*

Agree

You will be redirected to a page with instructions for payment via PayPal, US Mail or in-person.

Comments

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Crossfit Athlete's Arena

Parent/Guardian Section

Athlete Section

Waiver

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