Charity Raising Funds For:
Breast Cancer Research FoundationGleason's Give A Kid A DreamRapid Defense NetworkSuicide Prevention Center NYCZEROOther - Please list below
As a Corporate Fighter participant, you agree to:
1. Sell one table (10 seats) to Corporate Fight Night I agree
2. You will attempt to raise a $1,000 fundraising target via the online platform we will set up for you.I agree
3. Should you have to withdraw for medical reasons, a credit will be issued for your table purchases and will be held in credit for a maximum of 12 months from the date of purchase. -Table credits will not be honored post week 6 of the of the program. - Subject to availability. I agree
4. Refunds will not be given for any reason including, but not limited to, illness or injury. I agree
Corporate Fighter agrees to conduct 5 weekly training sessions, run a black-tie fight night event, and mentor you with the help of qualified coaches and experienced boxers.
As part of your training for Corporate Fighter, you will be granted conditional and temporary membership of Gleason’s Gym. Please complete the following for temporary access to Gleeson’s Gym (“the Gym”) located on 130 Water St, Brooklyn, NY 11201, United States (“the premises”). This agreement remains in force for this attendance and any subsequent attendance to the Gym and/or whilst taking part in the Corporate Fighter program. This includes, but is not limited to, training conducted within the gymnasium, at any outside or public area, on the fight night, or at any other place where activities are conducted within “the Gym. This agreement remains in force at the sole discretion of Gleason’s Gym. All information received on this form will be treated as strictly confidential. Please complete completely and accurately.
NO LIABILITY AND INDEMNITY
You acknowledge and accept that the use of any of products, services, equipment, software or other facilities or services that you do so entirely at your own risk. It is your responsibility to determine whether medical clearance is required to participate in any activities or services offered by the Gym; and your failure to do so will be at your own risk, and could result in serious injury or death. It is your responsibility to notify and disclose to the Gym any matter, which may affect your training or membership, such as, but not limited to, prior head injuries, other bodily injuries or weaknesses, pregnancy or any other physical, or mental, condition, present or pre-existing, which may have an adverse effect upon your participation in any training, or the use of any equipment, products or any other services, offered by the Gym. You agree that you shall have no claim against the Gym, its directors, employees, associates, subcontractors, agents, representatives, consultants, licensees and/or licensors for any loss, damage, harm, injury, death and/or expense, which may be suffered by you, or by any third party, resulting from any cause whatsoever, howsoever arising (excluding gross negligence), in connection with your membership and the use of any of the facilities or services of the Gym. Damages shall be deemed to include direct, indirect, general, special, incidental, punitive and consequential damages. You assume all of the risks associated with the physical activities offered by the Gym, and assume the risk of, but not limited to, personal injury, illness, negligence, economic or property loss or damage or any kind or nature by the Gym, its owners, directors, officers, employees or agents. In consideration of the grant of temporary access, you hereby release and discharge and indemnify the Gym from all actions, suits, proceedings, claims, demands, losses, damages, penalties, fines, costs and expenses, howsoever arising, that you may have incurred, and which in any way arise from, or in connection with, your membership and/or use of the Gym and/or its facilities and equipment, or from being on the gym premises to the fullest extent permitted by law, and whether caused or contributed to (directly or indirectly) by any other act of negligence, breach of duty or default/omission on the part of the Gym and/or its representatives owners, directors, officers, employees or agents. Upon signing these Terms and Conditions you agree that the Gym will not be liable for any loss, damage or theft of any of your property, except when caused by gross negligence by the Gym. Further the Gym will not be liable for any death, personal injury or illness occurring on the premises, or as a result of use of facilities, equipment or services, except that it arises from the gross negligence of the Gym and/or its representative owners, directors, officers, employees or agents. You also acknowledge and accept that the Gym has made no representations with regard to any particular competence, or with regard to the safety and/or quality of any of the equipment or services offered by the Gym in connection with your membership. These provisions are binding on your estate, heirs, executors, administrators, parents and/or guardians.
Furthermore, by signing and agreeing to these Terms and Conditions you hereby authorise Gleason’s Gym, or any of its other entities, using and photographic images, video or any other recording of you contained or stored by way of any other media, recorded whilst you are taking part in any Corporate Fighter or Gleason’s Gym activities, services or utilising any of their products. We reserve the right to these images or recordings for commercial purposes without payment.
Please fill in the following by checking either YES or NO:
Has your doctor ever said that you have a heart condition and recommended only medically
supervised physical activity? YESNO
Do you frequently have pains in your chest when you perform physical activity? YESNO
Have you had chest pain when you were not doing physical activity? YESNO
Do you lose your balance due to dizziness or do you ever lose consciousness? YESNO
Do you have a bone, joint or any other health problem that causes you pain or limitations that must be addressed when developing an exercise program (i.e. diabetes, osteoporosis, high blood pressure, high cholesterol, arthritis, anorexia, bulimia, anaemia, epilepsy, respiratory ailments, back problems, prior head injury, unusual susceptibility to injury, pregnancy, etc.)? YESNO
Are you pregnant now or have given birth within the last 6 months? YESNO
Have you had a recent surgery? YESNO
If yes, would the surgery affect your ability to undertake anything offered by Gleason’s Gym and Corporate Fighter? YESNON/A
Do you take any medications, either prescription or non-prescription, on a regular basis? YESNO
Please check which of the following conditions you have had or now have and list any medication you are currently taking for that condition.
Please tick all that apply.
Coronary heart disease, heart attackAnginaHigh blood pressurePeripheral vascular diseaseHigh cholesterolPhlebitis or emboliEpilepsyStrokeEmphysemaPneumoniaAsthmaBronchitisDiabetesThyroid conditionsOsteoporosisArthritisAnaemia (low iron)Bone fractureDepressionHigh anxiety, phobiasEating disorders (anorexia, bulimia)Sleeping problems
If you have marked YES to any of the above, please elaborate below:
How does this medication affect your ability to exercise or achieve your fitness goals?
Please check either YES or NO:
1. Do you smoke? YESNO
2. Do you drink alcohol? YESNO
3. How many hours do you regularly sleep at night?
I UNDERSTAND That the training involved at Corporate Fighter (CF), Gleason’s Gym and any other entity operating in conjunction with CF may involve boxing, weightlifting, gymnastic movements, strenuous body weight exercises and other high exertion activities. I completely understand that I am not obligated to perform nor participate in any activity I do not wish to do. I understand that it is my right to refuse such participation at any time during my training sessions. I understand that if I feel lightheaded, faint, dizzy, nauseated, or experience any pain or discomfort I am immediately to stop training and informer the trainer.
Please sign below:
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