Waiver And Release Of Liability
I hereby confirm and understand that I have requested to receive information relating to Blood Flow Restriction information including exercises, regimens, techniques, and other informational content (collectively “BFR Techniques”) which will involve the exchange of information regarding strenuous exercises including strength training and aerobic exercises with the potential for death, and/or serious bodily injury. The risks may include, but are not limited to, those caused by improper movements or techniques, dangerous or defective devices or equipment, facilities, temperature, weather, and the actions (or inactions) of other people (if any). I fully understand and agree that this Waiver and Release shall be applicable to all BFR Techniques.
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY AND ALL BFR TECHNIQUES AND TRAINING SESSIONS, including by way of example and not limitation, dangerous or defective information or techniques conveyed, and any and all risks that may arise from my negligence or carelessness, both on the part of myself and any other person with whom I may work with or otherwise convey or transmit the BFR Techniques.
I certify that I am physically fit, have sufficiently prepared or trained for participation in the BFR Techniques, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my full participation in this Event.
I further certify that I have diligently reviewed the *contraindications listed below and confirm that none are applicable to me. I also certify that I will not disclose any BFR Techniques to any other persons who suffer from any of the following *contraindications.
- Venous Thromboembolism
- Impaired circulation or compromised peripheral vascular disease
- Previous revascularization of the extremity
- Extremities with dialysis access
- Sickle cell anemia
- Extremity in infection
- Tumor distal to the tourniquet
- Medications, conditions and supplements known to increase clotting risk
- Open fracture
- Increased intracranial pressure
- Open soft tissue injuries
- Post-traumatic lengthy hand reconstructions
- Severe crushing injuries
- Severe hypertension
- Elbow surgery (where there is concomitant excess swelling)Skin grafts in which all bleeding points must be readily distinguished
- Secondary or delayed procedures after immobilization
- Vascular grafting
*A contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person. There are two types of contraindications: Relative contraindication means that caution should be used when two drugs or procedures are used together.
In consideration of my application and permitting me to participate in the BFR Techniques, I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, or actions of any kind which may hereafter occur to me from The BFR Pros, LLC, and their members, directors, officers, employees, contractors, volunteers, representatives, and agents; the activity or event holders, activity or event sponsors, activity or event volunteers (collectively, “Released Parties”).
To the fullest extent permitted by law, I hereby indemnify, hold harmless, and promise not to sue the Released Parties mentioned in this paragraph from any and all liabilities or claims made as a result of my participation in this Event, whether caused by the negligence of the Released Parties or otherwise. I further agree to indemnify, defend and hold the Released Parties harmless to the fullest extent permitted by law from and against any third-party claims, loss, liability, damages, costs and expenses (including reasonable attorneys’ fees) relating to or arising out of my use of the BFR Techniques.
I further acknowledge and understand that all of the information, techniques, exercises, regimens, and other material provided during the Event is only for general informational purposes and my convenience; it does not constitute medical advice or medical treatment and my participation in any BFR Techniques workshop or training session will not create a physician-patient relationship.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND AN ENFORCEABLE CONTRACT AND ACCEPTING THE TERMS AND CONDITIONS IS AN ACKNOWLEDGMENT AKIN TO YOUR SIGNATURE.