To complete your registration please fill out and submit the form below.

    Your Name (required)

    Your Email (required)

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    How did you hear about this course? (required):

    Reasons for coming to this clinic? (required):

    NOTE: THIS FORM MUST BE READ AND SIGNED UNALTERED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN ANY FUNCTION (I.E., TRAVEL, TRAINING, COMPETITION, PROCESSING, MEETING OR TESTING SESSIONS) AT PERFORMANCE ONE ADVANCED SPORTS TRAINING CENTERS. BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ AND UNDERSTOOD IT AND IS IN AGREEMENT WITH ITS CONTENTS.

    IN CONSIDERATION of my involvement in the exercise program and activities under the auspices of Performance One Advanced Sports Training, Inc, I acknowledge, appreciate and agree that:

    1. RISK IS INHERENT IN PARTICIPATION IN ANY EXERCISE PROGRAM, and in related training and discipline, including risks from the use of equipment and facilities, the risk of injury does exist, as well as the risk of damage to or loss of property; THESE RISKS INCLUDE EXTENSIVE AND SEVERE BODILY INJURY, PARALYSIS, DISMEMBERMENT, DISABILITY, DEATH, HARASSMENT, AND EXPOSURE TO INAPPROPRIATE CONDUCT.

    2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS; both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS;

    3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation, I will bring such to the attention of the nearest official immediately.

    4. I, FOR MYSELF, AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, and NEXT OF KIN, HEREBY RELEASE, HOLD HARMLESS AND PROMISE NOT TO SUE PERFORMANCE ONE ADVANCED SPORTS TRAINING INC., GIUSEPPE MICELA, OR OTHER SPONSORING ORGANIZATION, THEIR OFFICERS, COACHES, VOLUNTEERS, STAFF, SPONSORS, AND/OR AGENTS, (“RELEASEES”) WITH RESPECT TO ANY AND ALL INJURY AND/OR LOSS ARISING FROM MY PARTICIPATION, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE OR WANTON MISCONDUCT.

    5. This Waiver and Release of Liability shall remain valid for the entire length of the contract between the client and Performance One Advanced Sports Training, Inc. or until it is expressly revoked by written notice from me to Performance One Advanced Sports Training, Inc., whichever occurs first; provided however, that any such revocation shall not in any manner affect the waiver and release of liability given hereunder for any acts or occurrences prior to receipt of said written notice by the Performance One Advanced Sports Training, Inc. or prior to termination of my participation.

    6. Performance One may take photos and video recordings. We often use them for presentations and social media. Performance One is not required to contact you regarding using photos or videos.

    I have read this Release of Liability and Waiver Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

    I have read and accept the Waiver of Liability
    Yes

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