OCR, Unleashed, Inc.

Waiver of Liability

As a participant in an individualized, vigorous conditioning program pursuant to this questionnaire, I voluntarily intend to and will engage in strenuous athletic and physical fitness activities as part of my overall conditioning program. I understand that these athletic and physical fitness activities involve certain risks and exposure to personal injury.

I agree to observe and obey all rules and warnings and further agree to follow any oral instructions or directions given by the trainers at the obstacle course.

I agree to pay for all damages to the OCR Unleashed Inc. @ Great Falls, VA caused by my negligent, reckless or willful actions.

I hereby release in full and forever discharge OCR Unleashed, Inc, it’s Board Members, directors, officers, agents and employees; certified fitness instructors, conditioning specialists, whether acting within the scope of their employment or otherwise on behalf of myself, my heirs, executors, assigns, administrators, and personal representatives from any and all claims demands or causes of action relating to or deriving from my activities related to my engaging and participating in this conditioning program which may result in my death or in an injury to my person or property of any sort whatsoever. This applies to OCR Unleashed Inc. @ Great Falls, Krop’s Crops, and its owner and property.

I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program.

I declare to the best of my knowledge my answers are true, correct, and complete.

OCRU Waiver
Full Printed Name of Participant
Full Printed Name of Participant
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Last
Full Printed Name of Parent if participant is under 18 Years old
Full Printed Name of Parent if participant is under 18 Years old
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Last
Check to acknowledge agreement and digital signature of Participant or Parent/Guardian
In Case of Emergency – Contact Name:
In Case of Emergency – Contact Name:
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Last
Check the boxes below to indicate if you accept the below – Optional