INFORMED CONSENT WAIVER, RELEASE OF LIABILITY AND PERMISSION FOR PHOTOGRAPHY
In consideration of being allowed to participate in any NeuroPickleball or NeuroAthlete athletic training or NeuralTraining program, related events and activities, I intend to be legally bound and do hereby agree to be legally bound for myself and for all successors in interest I may have, by this Contract, and hereby agree to hold harmless and indemnify Joe Frasca and NeuroAthlete, LLC (“Principals”) as well as all officers, members, employees, assistants, volunteers, assigns, or agents of any type whatsoever acting on or in behalf of the aforementioned entities and persons (including Peter Hoversten, Grove Higgins and Pat Marques), against any claims for damages or other claims for injuries or losses of any kind suffered by me or any others, directly or indirectly, arising out of any practice, instructions, or other activity related to this program as well as participation in this program or traveling to or from this program or any other activity related to this program.
I understand that the activities, exercises and training methods to be taught may not be appropriate for all people and may, in some cases, cause injury or aggravate existing injuries. I certify that I am physically able to participate in this activity and will further hold Principals as well as any and all officers, members, employees, assistants, volunteers, assigns, or agents of any type whatsoever acting on or in behalf of the aforementioned entities and persons (including Peter Hoversten, Grove Higgins, and Pat Marques), harmless for any injury sustained in the course of this training due to any physical defect or condition that I may have, whether now known or hereinafter discovered. I further acknowledge that in consideration for this training, this release shall not expire and shall be considered effective in perpetuity. I also understand that all exercises, training methods and concepts are to be used at my own risk and that the aforementioned trainers and entities assume no responsibility for my actions.
I acknowledge if I am uncomfortable with any activity, exercise or training program within the course or if I observe any unusual significant hazard during my presence or participation that I may immediately state so, and that it is my right and responsibility to remove myself from the situation immediately and that I am encouraged to do so.
I grant to Principals the absolute and irrevocable right and unrestricted permission concerning any photographs or video (“Content”) that Principals have taken or caused to be taken or may take or cause to be taken of me or in which I may be included with others, to use, reuse, publish, and republish the Content in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, specifically including illustration, promotion, art, education, editorial, advertising, and trade, without restriction as to alteration; and to use my name in connection with any use if Company so chooses. I release and discharge Principals from any and all claims and demands that may arise out of or in connection with the use of the Content, including without limitation any and all claims for libel or violation of any right of publicity or privacy. This authorization and release shall also inure to the benefit of legal representatives, licensees, and assigns of Principals.
You should consult your physician or other health care professional before starting this or any other training program to determine if it is right for your needs. Do not start this program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while training you should stop immediately.
The Principals offer training information that is designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have learned or read on our sites. The use of any information provided is solely at your own risk.
Ongoing developments in research may impact any advice provided. No assurance can be given that the advice provided will always include the most recent findings or developments with respect to the particular material.
I have read this document and fully understand its contents. Additionally, I certify that I am eighteen years of age or older, or a legally emancipated adult. I certify that I am of sound judgment, legally competent to agree to this waiver.