Checkmate Boxing

    157 W San Fernando St.

    San Jose, CA 95113


    Waiver of Liability & Assumption of Risk Agreement

    In consideration of being permitted to participate in the activities offered by Checkmate Boxing Inc., its officers, members, trainers, affiliates, representatives, and any facility where activities may take place, I (on behalf of myself, my family, dependents, representatives, or guests) do hereby waive, release, forever indemnify and hold harmless Checkmate Boxing Inc. from any and all responsibilities or liabilities resulting in injuries, death, property loss, or damages from participation in any activities and use of equipment and facilities in the above mentioned studio including those caused by ordinary negligence or carelessness. I further agree to hold harmless, defend, and indemnify Checkmate Boxing Inc. from any and all claims (including ordinary negligence of the studio) arising directly or indirectly from my participation in the activities and to pay all costs and attorneys’ fees incurred by Checkmate Boxing Inc. in investigating and defending a claim brought by me or on my behalf. I understand that participation in boxing, full-contact sports, aerobic and athletic activities, and strenuous physical activity is a potentially hazardous activity. I also understand that these activities involve the risk of injury or even death and that I am voluntarily participating in these activities and assume the inherent risks of participation. It has been advised that I should make provisions for coverage of liability within my own personal insurance policy.

    I acknowledge that Checkmate Boxing Inc. and its trainers are not physicians and are not trained in any way to provide medical diagnoses or any other type of medical advice or service. I acknowledge that I am (1) advised to seek and obtain any necessary medical clearances from my physician prior to undertaking any exercise activity, that I have (2) obtained the necessary medical clearances to participate in the activities and programs provided by Checkmate Boxing Inc., and that I am (3) physically and mentally capable of performing the physical activity I choose to participate in and (4) do not suffer from any disability or condition that would prohibit my participation in these activities. I understand that it is my responsibility to discontinue the activity at any time I feel undue discomfort or stress, will notify the trainer and staff immediately, and contact my physician, emergency room, or 911 as necessary.

    I agree to comply with all the rules imposed by the studio regarding the use of the facility and equipment, to conduct myself in a reasonable and controlled manner at all times, and to refrain from utilizing the equipment in a manner inconsistent with its purpose or design. I acknowledge that Checkmate Boxing Inc. does not guarantee any results and that I am solely responsible for maintaining the diet and fitness regime appropriate for my level of health and agree that any results that occur, whether positive or negative, are an effect of my choices.

    I hereby also give permission for the right to use my photograph and/or video imaging as a part of the studio’s printed material, social media, website, and any promotional marketing advertisement. I hereby waive all rights to approve the finished product. I also release Checkmate Boxing Inc. from any claims for compensation associated with any forms of damages, foreseen or unforeseen, associated with the use of the images or videos.

    I acknowledge that various aspects of Checkmate Boxing’s business are protected intellectual property belonging exclusively to Checkmate Boxing Inc. This intellectual property shall include, but not be limited to, the distinctive workout plan and session programming, the appearance, look, feel, and services Checkmate Boxing offers to the clients, as well as any copyrights, trademarks, designs, logos related thereto. I acknowledge that Checkmate Boxing’s business model depends on the protection and enforcement of its intellectual property; as a result, I agree not to copy, duplicate, photograph, record, reproduce, distribute, republish, perform, display, post transmit, sell, or make derivative works including but not limited to electronic, mechanical, photocopying, recording, or otherwise of the studio’s intellectual property without the express written permission of Checkmate Boxing Inc.


    In exchange for the permission of my minor/child to utilize the studio equipment and facilities and to participate in studio activities, I agree to the “Waiver of Liability & Assumption of Risk Agreement” and to forever defend, indemnify, and hold harmless Checkmate Boxing Inc. from any and all responsibilities or liabilities brought forth by my minor. I also promise to pay any financial obligation incurred by my minor for any reason and acknowledge that the banking information provided is my account. I understand that participation in the activities provided by Checkmate Boxing may result in a risk of personal injury or harm to my minor. I further certify that my minor/child is in good physical condition, and has no mental or physical conditions that would prohibit him/her from participating in Checkmate Boxing activities. I understand that any minor of mine under the age of 12 must be accompanied by an adult at all times while in the studio.

    I understand that this form involves a release of legal rights and I certify that I am at least 18 years of age.

    Emergency Contact/Parent/Guardian

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