SIGNUP / VISIT
CrossFit Pallas Drop In Signup
Select the classes on the calendar you'd like to drop into.
The calendar contains CrossFit Pallas's classes they allow drop-ins to attend. You can select as many classes as you'd wish to attend, and your fee will be adjusted accordingly.
Drop In Fee Details
The following invoice shows what you will be charged as you select classes to drop into.
Please enter your information below to register and pay for your drop-in classes
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Emergency Contact Phone
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Waiver and Release of Liability
Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at, or under direction of CrossFit Pallas.
I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.
In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered by CrossFit Pallas, I, the undersigned hereby release CrossFit Pallas their principals,agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to,arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors,representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with CrossFit Pallas to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.
The participant recognizes that there is risk involved in the types of activities offered by CrossFit Pallas. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CrossFit Pallas, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by CrossFit Pallas, at the main building or abroad. This includes but is not limited to parks,recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training by CrossFit Pallas I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.
Please answer the following questions:
Have you had OR do you presently have diabetes
Have you had OR do you presently have asthma
Have you had OR do you presently have high / low cholestoral
Have you had OR do you presently have high/low blood pressure
Have you had OR do you presently have dizziness/fainting
Have you had OR do you presently have heart disease
Have you had OR do you presently have seizures
Have you had OR do you presently have anemia
Have you had OR do you presently have heart murmurs
Have you had OR do you presently have lung disease
Have you had OR do you presently have chest pain
Have you had OR do you presently have orthopnea
Have you had OR do you presently have nuritis
Have you had OR do you presently have palpitations
Do you currently smoke?
If yes, how frequently (in a week)
Do you consume alchohol
If yes, how frequently (in a week)
How were you referred to CrossFit
What are your motivations for starting CrossFit
What physical activities do you currently participate in
Please explain any previous injuries or surgeries
Please list any medications you are presently taking
Do you have any injuries that interfere with excercising
Please use your mouse/finger to sign your name
Clear Waiver Signature
By clicking this checkbox you agree to online signature signing of this waiver
I consent to conduct electronic business
Billing First Name
Billing Last Name
Credit Card Number
Expiration Date (mm/yyyy)
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Ithaca, New York 14850
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