Schedule

LIABILITY WAIVER AND RELEASE AGREEMENT
Contract #: C-2024-001

This Liability Waiver and Release Agreement ("Agreement") is made between Z’s Boxing Gym ("Gym") and the undersigned member ("Member"). By signing below, the Member agrees to the following terms and conditions of membership.

1. Member Information:

Name: {name}

Address:

Phone Number: {phone}

Emergency Contact:

Emergency Contact Phone:

Name: {name}
Date of Birth: {dob} 
Phone number: {phone}

1. Assumption of Risk
I, {name}, acknowledge that I am voluntarily participating in physical activities, including but not limited to boxing training, fitness classes, sparring, and the use of equipment at Z’s Boxing Gym. I understand that these activities involve inherent risks, including but not limited to, the risk of injury, illness, or death, which may result from, among other causes, the use of equipment, physical exertion, contact with other participants, or the condition of the premises. I fully understand and accept these risks and voluntarily assume all risks associated with my participation in any activities at Z’s Boxing Gym.

2. Release of Liability
In consideration of being allowed to participate in activities at Z’s Boxing Gym, I hereby release,
discharge, and hold harmless Z’s Boxing Gym LLC, its owners, officers, directors, employees,
agents, contractors, and all other persons or entities acting on its behalf (collectively referred to
as the Z's Boxing Gym LLC) from any and all claims, demands, or causes of action arising out of or related to any injury, illness, death, or damages of any kind that I may suffer as a result of my
participation in activities at Z’s Boxing Gym, whether caused by the negligence of the Released Parties or otherwise.

3. Indemnification
I agree to indemnify, defend, and hold harmless the Released Parties from any and all claims,
demands, or causes of action brought by any third party, including but not limited to, claims for
medical expenses, loss of income, or damages of any kind, arising out of or related to my
participation in activities at Z’s Boxing Gym.

4. Medical Consent
I certify that I am physically fit, have sufficiently prepared or trained for participation in the
activities at Z’s Boxing Gym, and have not been advised by a qualified medical professional not to participate. I consent to receive necessary medical treatment, which may be deemed advisable by the staff of Z’s Boxing Gym or a qualified medical professional, in the
event of injury, accident, and/or illness during my participation.

5. Waiver of Claims
I agree that this waiver and release shall be governed by and construed in accordance with the
laws of the State of Virginia . If any portion of this agreement is found to be invalid or
unenforceable, the remaining portions shall remain in full force and effect.

6. Binding Agreement
I understand that this agreement is binding on myself, my heirs, executors, administrators,
successors, and assigns. I have read this waiver and release, fully understand its terms, and
understand that I am giving up substantial rights by signing it. I sign it freely and voluntarily
without any inducement.

7. Photography/Video Release
I grant Z’s Boxing Gym LLC the right to take photographs and/or video recordings of me during
activities at the gym. I agree that these images may be used for promotional purposes, including
social media, website content, and marketing materials, without compensation.

Participant’s Signature:
Date: {sign_date}
Parent/Guardian Signature (if participant is under 18):
Date: {sign_date}