In consideration of Badass Shum, accepting myself or my child into participation and/or training in boxing, which activity I hereby acknowledge involves greater than normal risk of injury, I agree, for myself or as my child’s parent/guardian to assume responsibility for all risks, cost, or losses sustained by me, my child, or my child’s family in connection with participation in boxing classes, programs, lessons, meets, open gyms, field trips or any other activities connected with Badass Shum . I give my permission to Badass Shum and/or the appropriate medical facility to make whatever emergency (first aid, disaster evacuation, etc.) measures judged as necessary for the care and protection of me or my child while under the supervision of Badass Shum.

 

In case of an emergency, I understand that I or my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resources deem it necessary. Transportation will be at my own expense. It is understood that in some medical situations, the staff will need to contact the local emergency resource before the parent, physician and/or other acting on behalf of the parent or family can be reached.


 

Further, I hereby release and agree to hold harmless and to indemnify Badass Shum employees, owners or volunteers from any claims, losses or expenses incurred or on the behalf of me, my child or my child’s family. Speaking for myself or as a legal guardian of this participant, I hereby verify by my signature below, that I fully understand and accept each of the above conditions for participating or for permitting my child to participate in activities at Badass Shum.


 

I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER AND RELEASE, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Client health waiver

Please read the above information and complete the form below.