Signup

Participant Waiver, Release of Liability, and Media Consent Form

This form must be completed and signed prior to participating in any activities at Bronx Legends Cops & Kids Gym.

Participant Information: 

Name: {name}
Date of Birth: {dob}  
Phone: {phone}
Email:
Address: {address}

In consideration of being allowed to participate in any way in the programs, training, and related events or activities conducted by Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. at 1761 Walton Ave, Bronx, NY 10453, I acknowledge, appreciate, and agree to the following:

1. Assumption of Risk: I acknowledge that boxing, fitness training, and related gym activities carry a risk of injury, including serious injury, disability, or death. I knowingly and freely assume all such risks.

2. Waiver and Release of Liability: I hereby release and hold harmless Bronx Legends Boxing Inc., NYPD Fighting Finest Inc., their officers, directors, agents, volunteers, staff, and sponsors from any and all liability, claims, demands, causes of action, or losses arising from participation in gym activities.

3. Insurance: I understand that this is a free program and that while NYPD Fighting Finest Inc. maintains a general insurance policy, I am responsible for my own medical coverage.

4. Health Declaration: I certify that I am physically fit and have no medical condition that would prevent me from safely participating in gym activities. I agree to inform staff of any changes in my health status.

5. Emergency Contact: {contact_name}
   Relationship: {contact_relation}
   Phone: {contact_phone}

6. Media Release: I grant permission to Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. to use my image, likeness, voice, and/or name in any photographs, videos, or media taken during program activities for promotional or educational purposes, without compensation.

Signature :

Participant (or Parent/Guardian if under 18):
Date: {sign_date}

Minor Participant Waiver, Release of Liability, and Media Consent Form

Minor Participant Information: Name: {name}
Date of Birth: {dob}
Phone: {phone}
Email (if any):

Parent/Guardian Information: Name:
Relationship:
Phone:
Email:

Address: {address}

Emergency Contact (if different from above): Name:
Phone:

I, the undersigned parent/legal guardian of the minor participant, hereby acknowledge, appreciate, and agree to the following:

1. Consent to Participate: I give permission for my child to participate in the programs, training, and related activities conducted by Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. at 1761 Walton Ave, Bronx, NY 10453.

2. Assumption of Risk: I understand that boxing and physical fitness activities involve inherent risks. I voluntarily assume all risks associated with my child’s participation.

3. Waiver and Release of Liability: I release and hold harmless Bronx Legends Boxing Inc., NYPD Fighting Finest Inc., and their officers, directors, agents, volunteers, staff, and sponsors from any liability or claims related to injuries or losses sustained by my child during participation.

4. Insurance Acknowledgment: I understand that this is a free program and that NYPD Fighting Finest Inc. maintains general insurance, but I remain responsible for my child’s individual medical needs.

5. Health Representation: I certify that my child is physically fit and has no condition preventing safe participation in gym activities.

6. Media Release: I grant permission for Bronx Legends Boxing Inc. and NYPD Fighting Finest Inc. to use my child’s image, likeness, voice, and/or name in photos, videos, or media coverage for promotional or educational purposes.

Signature of Parent/Guardian:
Date: {sign_date}

Signature of Minor (if able): {name}
Date: {sign_date}