sos 2017 Registration

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SOS 2017 Registration

Registration has three steps.

Step 1

Complete the form below, each team member can do this independently.

Step 2

Pay the registrations fee ($220 per team) either via direct deposit ( CrossFit Warrnambool BSB 063533 Acc 10717254) or paypal (pwatkins3280@gmail.com). In either case use your team name in the comments (paypal) or as the reference (direct deposit)

Step 3

Check your emails, once you have both completed the forms and the team has paid, expect a confirmation and athlete info email within 72 hours. 

If you have any problems, concerns etc. you can reach us at coach@crossfitwarrnambool.com.au

Registration form

Athlete *
Athlete
Are you the team Captain
Date of Birth
Date of Birth
This is to allow us to accomodate for people travelling who may arrive later in the evening.
In consideration of CrossFit Warrnambool allowing me to participate in the SOS 2017, I acknowledge, understand and I am aware that: *
There are significant risks involved in all aspects of physical training. I understand that the reaction of the heart, lungs and vascular system to exercise cannot always be predicted with accuracy. I understand that there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart rate, chest, arm or leg discomfort, transient light-headedness or fainting, and in rare instances heart attach, stroke or even death. Excessive work can result (in rare cases) in exertional rhabdomyolosis. I should look for signs of excessive soreness, darkened urine and pain in the kidney areas in the days following a particularly intense workout. Whilst this type of injury is particularly rare, it can occur due to a number of factors including (but not limited to) genetic predisposition or dehydration, that may be beyond the control of my trainer. I understand that the competition run by CrossFIt Warrnambool is of a nature and kind that is extremely strenuous and can/may push me to the limits of my physical abilities. These risks include, but are not limited to: falls 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. 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 have voluntarily chosen to participate in the SOS 2017. I understand there are inherent risks in all aspects of physical training and I acknowledge that I have been informed of the possible strenuous nature of the training and the potential for undesirable physiological results including, but not limited to, abnormal blood pressure, muscle soreness, fainting, heart attack and/ or death. I also acknowledge that I have been specifically warned about the medical condition “Rhabdomyolysis” and accordingly I have been advised to limit my effort in order to minimise the risks associated with this condition. I understand that the competition may involve weightlifting, gymnastic movements, strenuous bodyweight exercises and other high exertion activities, and that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or discomfort, I am to stop the activity and inform a trainer. I give CrossFit Warrnambool and the staff of the facilities I train in permission to seek emergency medical services for me should I become injured or ill with the understanding that I am responsible for any expenses incurred.
*
I agree to WAIVE ANY AND ALL CLAIMS that I have or may have in the future against CrossFit Warrnambool, and its directors, officers, employees, agents, volunteers and independent contractors (all of whom are hereinafter collectively referred to as “the Releasees”). I agree to RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the programs, activities and services provided by CrossFit Warrnambool, due to any cause whatsoever including negligence, breach of contract, or breach of any statutory or other duty of care. I agree to HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to the property of, or personal injury to, any third party, resulting from my participation in any program, activity or service provided by the releasees. 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. If I am signing on behalf of a minor child, I also give full permission for any person connected with CrossFit Warrnambool to administer first aid deemed necessary, and in case of serious illness or injury, I give 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 Warrnambool, its agents, officers, principals, employees and volunteers to use 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 Warrnambool of this in writing.
I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY CLICKING THIS WAIVER AND RELEASE OF LIABILITY FORM I AM WAIVING CERTAIN LEGAL RIGHTS, (INCLUDING THE RIGHT TO SUE) WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTOR, ADMINISTERS AND AS-SIGNS MAY HAVE AGAINST THE RELEASEES. ANY QUESTIONS I HAD WERE ANSWERED TO MY FULL SATISFACTION.