CROSSFIT Swindon Kids
WAIVER/EMERGENCY CARD & PHOTO RELEASE
What information do we need to know so we can provide the best care for your child?
Participants name______Sex M/F______
DOB______School and Year______
Contact details – land line/mobile number______/______
Has your child ever been told not to participate in physical activity? If yes,why?______
______
Medical conditions/Injuries/medications/allergies or anything we should be aware of?______
______
Emergency contact name and number______
The following people have permission to collect my child from Crossfit kids:
Name______contact number______
Name______contact number______
PHOTO RELEASE
I hereby, give permission for images of my child, captured during regular and special activities, through video, camera and digital camera to be used solely for the purpose of Crossfit, Crossfit kids or licensed Crossfit affiliate promotional material publications and website, including the Crossfit Swindon’s Facebook. Last names of minors will not be given or posted on the internet or website.
Name of minor______
Name of Parent/Guardian______
Signature______Date______
Waiver
The CrossFit Swindon Affiliate and coaches for children’s participation in CrossFit. However, CrossFit Swindon kids strongly recommends that you clear your child’s participation, in any exercise program, with their doctor. CrossFit Swindon kids services are not a substitute for professional medical advice. All known health and/or medical issues must be cleared by a physician for full participation. It is recommended that you acquire sports personal injury insurance for your child.
Please read and sign the following statement:
I understand that exercises in these training sessions can be strenuous at times. There is an inherent risk in any exercise program that, while providing great health benefits, can also cause unintentional health issues. While CrossFit Swindon kids takes the utmost care to provide the safest program possible, I recognize and understand these training sessions are not without varying degrees of risk. Although extremely rare, these risks can result in critical injuries up to and including death. Negligent and/or accidental acts committed by either my child or another could also cause the same consequences.
Parent/Guardian signature:______Date:______
Please print name: ______