Fit to Thrive Workshop Series Screening Waiver

First Name

Last Name

In consideration of participating in the activity sessions that are part of the F2T Workshop Series, I hereby acknowledge and agree as follows:

I understand the activities I may perform while completing the activity sessions that are part of F2T Workshop Series require some degree of physical fitness, and thus I may experience some muscular discomfort or delayed muscle soreness as a result of participating.

I understand the F2T Workshop Series course involves the risk of injury or death, and I voluntarily assume these risks.

I understand that Performance Redefined and the International Association of Fire Fighters (IAFF) will not provide medical or health insurance coverage to me during any aspect of my participation in the F2T Workshop Series. I hereby represent and warrant that I am and will be covered throughout the activity by a policy of accident and health insurance that provides coverage for injuries I may sustain by participating in the F2T Workshop Series. I understand I may be required to show proof of insurance coverage prior to my participation in the F2T Workshop Series.

I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby agree to indemnify, defend and hold harmless Performance Redefined and the IAFF, and their employees, agents, and representatives, from any and all liability whatsoever for any and all damages, losses, or injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, expenses and costs, including attorneys fees, which arise out of, result from, occur during, or are connected in any manner with my intentional and/or negligent conduct during my participation in the F2T Workshop Series.

To the extent authorized by law, I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby release and forever discharge Performance Redefined and the IAFF, and their employees, agents, and representatives, from any and all liability, loss, damage or expense, including attorneys fees, that they or any of them incur or sustain as a result of any claims, demands, actions, causes of action, damages, judgments, costs or expenses, including attorneys fees, which arise out of, occur during, or are in any way connected with my intentional and/or negligent conduct during my participation in the F2T Workshop Series.

In consideration of participating in the activity sessions that are part of F2T Workshop Series, I hereby acknowledge and agree as follows:

To the extent that I, individually, or my heirs, successors, assigns, or personal representatives bring a claim of any kind whatsoever against Performance Redefined or the IAFF, or their employees, agents, and representatives, I agree that this Waiver, Release and Indemnification Agreement is to be construed in accordance with the laws of the province of Ontario, and the federal laws of Canada, and that if any portion hereof is held invalid, the balance hereof shall, notwithstanding, continue in full legal force and effect. In signing this document, I hereby acknowledge that I have read this entire document, that I understand its terms, that by signing it I am giving up substantial legal rights I might otherwise have, and that I have signed it knowingly and voluntarily.

I understand and agree that any and all disputes against Performance Redefined or the IAFF arising out of or in connection with my participation in the F2T Workshop Series course shall be litigated only in courts located in the province of Ontario, Canada and in no other court, and I hereby consent to the jurisdiction of this court.

I certify that my agency or employer listed is aware of and supports my participation in the F2T Workshop Series.

I certify the information I have provided to Performance Redefined and the IAFF in preparation for the F2T Workshop Series is true and accurate.

I understand that I must abide by all the rules and policies set forth by Performance Redefined and the IAFF. I understand that the rules and guidelines of the F2T Workshop Series are intended to protect me and other participants from harm, to protect property from damage, and to make my learning experience and the learning experience of other participants enjoyable. I understand that my failure to abide by the rules and policies may result in my being denied admission to the workshop or may result in my being dismissed from the workshop.

Date / Time

Date

Time

AM/PM