In consideration of being allowed to participate in the “Bio-Synergy, Muscle & Health boxing challenge”, I do hereby waive, release, covenant not to sue and forever discharge Bio-Synergy Ltd and its officers, members, agents, employees, representatives, executors, and all others from any and all responsibilities or liabilities from injuries or damages resulting from my participation in any activities or my use of equipment. I do hereby release all those mentioned and any others acting on their behalf from any responsibility or liability for any injury or damage to myself including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf or in any way arising out of or Bio-Synergy Ltd  or the use of any equipment.

I understand and am aware that boxing is a potentially hazardous activity. I also understand that these activities involve risk of injury, and that I am voluntarily participating in these activities. It has been advised that I should make provisions for coverage of liability within my own insurance policy. 

I have obtained the necessary medical clearances to participate in activities. I acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. I am in good health not under the influence of any substance and I am capable of performing the physical activity I choose to participate in.

CONSENT TO USE IMAGE 

I do hereby give Bio-Synergy Ltd, Muscle & Health and its designees the irrevocable right to use my photograph and or video imaging as a part of their printed material, social media, website and any promotional marketing advertisement. I hereby waive all rights to approve the finished product. I also release Bio-Synergy Ltd, Muscle & Health from any claims for compensation associated with any forms of damages, foreseen or unforeseen, associated with the use of the images or videos.

IMPORTANT – READ BEFORE SIGNING  

I HEREBY ACKNOWLEDGE BY SIGNING THIS FORM ON BEHALF OF MYSELF AND/OR THE CHILD LISTED I AGREE THAT THE RELEASE, WAIVER OF LIABILITY, IDEMNITY AGRREEMENT, CONSENT, AND ALL OTHER TERMS ABOVE APPLY TO ME AND/OR TO THE CHILD.

***If applicant is less than 18 years of age, a parent or legal guardian must read above application and give consent on the signature below: