NEW CLIENT REGISTRATION

Parent / Guardian Information

If so, please provide their first and last name.

Athlete Information


I desire to workout with, practice with and use the facilities of Redline Athletics. In consideration for being allowed to workout with, practice with and use the facilities of Redline Athletics, I acknowledge and agree that: I understand that participation in the activities involves risks of serious injury, including, but not limited to, paralysis, dismemberment, permanent disability and death, and other losses, both to my person and property. I understand that these injuries and losses can result not only from my actions, inactions or negligence, but the actions, inactions or negligence of Redline Athletics and its owner; and other individuals working out with or practicing within the training facility. I also understand that these injuries and losses can result from the condition of the facilities and the equipment used. Additionally, I understand that these injuries and losses can result from not being in proper physical condition to undertake the activities. I assume all risk in any way connected with my participation in the training session, and I accept personal responsibility for any injury or loss in any way connected with my participation in the workout sessions. I also assume my own responsibility for being in the proper physical condition to undertake the activities.

I WAIVE, RELEASE, HOLD HARMLESS, AND PROMISE NOT TO FILE SUIT AGAINST Redline Athletics, its owners, directors, employees for any injury, paralysis, dismemberment, disability, death and/or loss or damage in any way connected with my participation in training sessions associated with Redline Athletics, whether or not caused in whole or part by the actions, inactions or negligence of Redline Athletics and the owners of the training facilities. This voluntary waiver and release from liability shall also apply to any relative, personal representatives, heirs, beneficiaries, executor, next of kin or assigns who might pursue legal action or claim on my or the athletes behalf that arises or may arise as a result of my participation in the training sessions.

This voluntary waiver and release from liability agreement is to be interpreted consistent with the laws of this State.

I have read this voluntary waiver and release from liability agreement. I understand that I have given up substantial rights by signing it and I am signing this waiver and release from liability agreement voluntarily for myself and my children.


By my signature below, I confirm that I have provided all necessary contact information and relevant medical information regarding the Participants. I understand that I have a continuing obligation to update this information with the Center as new information becomes known by me. I will promptly update this information with the Center upon the discovery of new medical information and/or new contact information.

* By signing, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By signing here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

I have fully read and understand all of the above statements.

Please draw your signature in the box below.