Athlete Waiver | Iron Clydesdale Live

First name

Last name

Date of Birth

Have you been hospitalized in the last 12 months?

Yes

Are you suffering from a medical condition, illness, or injury?

Yes

If you answered yes to any question, please elaborate

Athlete Waiver, Release & Agreement: I acknowledge that training for and/or participating in a bicycle, running, swimming, triathlon, duathlon, or any athletic training event is an extreme test of a person's physical and mental limits and such training or participation poses potential risks of serious bodily injury, death, or property damage. With full understanding of the risks I am taking, I HEREBY ASSUME ALL THE RISKS OF TRAINING FOR AND PARTICIPATING IN SUCH EVENTS and agree to the following, as indicated by a check mark next to each item):

John Quinlan is an endurance specialist who has been trained to assist me in improvement of my fitness.

In consideration of being accepted as a fitness client by John Quinlan and Iron Clydesdale LLC, I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns, or anyone else who might claim or sue on my behalf: (a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims, costs, or liabilities for death, personal injury or damages of any kind, which arise out of or relate to my training for or participation in a bicycling, running, swimming, triathlon, duathlon event, or athletic or training event THE FOLLOWING PERSONS OR ENTITIES: John Quinlan, Iron Clydesdale LLC, its Officers, Directors, employees, coaches, consultants, and agents of any of the above (collectively, “Iron Clydesdale"); (b) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims, costs or liabilities that I have waived, released or discharged herein; and (c) I PROMISE TO INDEMNIFY, DEFEND, and HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them, including legal fees, as a result of my actions except those resulting from the willful acts or gross negligence of John Quinlan.

A physician has examined me and he/she certifies that I am cleared to begin an exercise training program.

I hereby attest that I am in good health and my physical condition has been verified by a licensed medical doctor and, furthermore, the licensed medical doctor has approved my intent to train for and participate in these events.

I agree to abide by the laws of the State of Minnesota and to litigate any disputes between myself (the Client) and John Quinlan within the legal jurisdiction of Minnesota (Edina).

I agree to pay the monthly coaching fee as discussed and agreed upon with John Quinlan. All payments will be due on the 1st day of the month. Should Iron Clydesdale LLC not receive payment by the fifteenth (15th) day of the month, I agree to pay a late payment fee in the amount of ten (10) percent of the monthly coaching fee, due with the next month’s payment.

I affirm that I am eighteen (18) years of age or older, I have read this document and understand its contents. I understand that by signing this document I am waiving significant legal rights and am incurring significant legal liabilities.

I UNDERSTAND THAT I SHOULD CONSULT AN ATTORNEY IF I DO NOT UNDERSTAND ANY PORTION OF THIS WAIVER AND RELEASE

I declare that the info I’ve provided is accurate & complete

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