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TRAINING AGREEMENT, RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, AND INDEMNITY AGREEMENT.

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING ANY ACCIDENT, INCIDENT, ACT, OR OMISSION.

Thank you for choosing to use the activities, training, coaching, information, programs and/or services of Code 5 Fitness (herein called Code 5). We request your understanding and cooperation in maintaining your health and safety as well as ours, by reading and signing the following Informed Consent Training Agreement.

I (PLEASE PRINT CLEARLY)

Participant Full Name (Required)

Participant Email Address (Required)

declare that I intend to use some or all of the activities, training, coaching, information, programs, classes, workshops, seminars, skills and/or services offered by Code 5, Tricia Dong, and their representatives – herein called the “Training Services.”

1. I understand that each person (myself included), has a different capacity for participating in the Training Services. I am aware that all of the Training Services offered are occupational, educational, recreational, or self-directed in nature. I assume full responsibility during and after my participation for my choices to use or apply, at my own risk, any portion of the training, coaching, information, skills, or instruction received from the Training Services. I further understand that the Training Services are subject to organizational guidelines, and/or policy, and/or other Federal or Provincial statutes.

2. I am seeking instruction in Code 5 Training Services, in which I am aware can involve strenuous physical exercise and body contact; I am aware that functional fitness for duty and tactical training involves risks of personal injury, death, property damage, expense and related loss, including loss of income. I freely accept and fully assume all such risks and the possibility of personal injury, death, property damage, expense and related loss, including loss of income.

3. I understand that part of the risk involved in the Training Services is relative to my own state of fitness and health (physical, mental, and/or emotional) and that the awareness, care, and skill with which I conduct myself while participating in the Training Services. I DECLARE I am of sound physical and mental health and condition. I ACKNOWLEDGE that my choice to participate in the Training Services brings with it assumptions by me of those risks or results stemming from these choices and the fitness, health, awareness, care, and skills that I possess and use. I further understand that I am free to withdraw from, reduce, or modify my involvement in the Training Services and I realize that I should do so upon recognition of ANY signs of light-headedness, fainting, chest discomfort, cramps, nausea, pain, or any other health condition. I AGREE to inform the Instructors forthwith of any of these conditions or any other that I feel may compromise my health. In addition, I ACKNOWLEDGE that I have inquired about the nature of the Training Services that I am not completely familiar with, and I have been informed of any inherent risks.

4. In consideration of Code 5 Fitness accepting my application to participate in their Training Services, I agree to the following conditions:

• a. To waive any and all claims that I may have against Code 5 Fitness or other associated parties, including other participants in the Training Services.

• b. To release Code 5 Fitness or other associated parties, including other participants in the Training Services, of any and all liability for any personal injury, death, property damage, expenses, and related loss of income that I or my next of kin may suffer as a result of my participation in this activity due to any cause whatsoever, including negligence, breach of contract, or any statutory duty of care.

• c. To hold harmless and indemnify Code 5 Fitness or other associated parties, including other participants in the Training Services, and their instructors, coaches, representatives, and volunteers from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in this activity or in the course of any instruction of Code 5 Fitness.

• d. I understand that the instructors, or anyone authorized to act in their stead, has the right to terminate my participation for any infraction of safety regulations or for any conduct deemed detrimental to or inconsistent with the principles, values, and/or mission statement of Code 5 Fitness.

• e. To obey by the rules of Code 5 Fitness, and explicitly follow the directions given by the instructors during the classes.

• f. I agree not to represent myself as a Code 5 Fitness instructor, staff, or volunteer, or to teach Code 5 Fitness programs or techniques without the express permission and approval of Tricia Dong.

I HEREBY DECLARE THAT I HAVE READ THIS DOCUMENT AND ALL OF ITS TERMS, AND ACKNOWLEDGE THAT I FULLY UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS OF PARTICIPATION.

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Date (YYYY/MM/DD)

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