Youth waiver/release form

Because physical exercise can be strenuous and subject to risk of serious injury, you're encouraged to obtain a physical examination from a qualified physician before allowing your child to use any exercise equipment or participate in any physical activity. By signing this release, YOU AGREE that by your child participating in physical exercise or training activities, he/she does so entirely at your own risk. Any recommendation for changes in diet including the use of food supplements, weight reduction and/or body building enhancement products are entirely your responsibility and you should consult a physician prior to undergoing any dietary or food supplement changes. You agree that you are voluntarily allowing your child to participate in these activities and assume all risks of injury, illness, or death. You expressly agree to release and discharge the trainer/instructor of ACTIVATED PERSONALIZED BOXING FITNESS and it's associated facilities from any and all claims or causes of legal action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer/instructor, or the city of Regina, for personal injury or property damage.

Does your child have any pre-existing injuries or ailments that we should be aware of?
PHOTO/VIDEO RELEASE: I hereby authorize Activated Personalized Boxing Fitness to publish photographs taken of me and/or the undersigned minor children, and our names, for use in the Activated Personalized Boxing Fitness social media publications and website.

Thanks for submitting!