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ASSUMPTION OF RISK, RELEASE OF LIABILITY & EMERGENCY MEDICAL AUTHORIZATION

Horsepower Speed & Performance Training LLC d/b/a HP Speed Lab

Participant Information

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

Emergency Contact: {contact_name}
Relationship to Participant: {contact_relation}
Emergency Contact Phone: {contact_phone}

Membership or Program: {membership_title}
Membership Start Date: {start_date}

1. Acknowledgment of Inherent Risks

I understand that participation in athletic performance training is physically demanding and involves inherent risks that cannot be completely eliminated, even when reasonable safety precautions are taken.

HP Speed Lab activities may include, but are not limited to:

• Speed and sprint training
• Strength and resistance training
• Agility and reaction drills
• Conditioning exercises
• Plyometric and jump training
• Mobility, flexibility, and stretching exercises
• Balance and coordination activities
• Competitive games and athletic drills
• Indoor and outdoor training
• The use of weights, resistance bands, sleds, hurdles, cones, ladders, and other training equipment

I understand that participation may expose the Participant to risks including, but not limited to:

• Slips, trips, and falls
• Muscle soreness, strains, and tears
• Ligament sprains
• Joint injuries
• Broken bones
• Cuts, abrasions, bruises, and contusions
• Head injuries and concussions
• Heat-related illness
• Dehydration
• Overexertion
• Equipment-related injuries
• Contact or collisions with other Participants
• Uneven surfaces, weather conditions, and other outdoor hazards
• Serious injury, permanent disability, paralysis, or death

I acknowledge that these risks may occur despite appropriate coaching, supervision, facility maintenance, and safety procedures.

Participant or Parent/Guardian Initials:

2. Voluntary Participation

I understand that participation in HP Speed Lab programs is voluntary.

I voluntarily choose to participate, or voluntarily give permission for the minor Participant identified above to participate, with full knowledge and understanding of the risks associated with athletic training.

I understand that the Participant may stop participating in an activity and should immediately inform a coach when experiencing pain, dizziness, illness, injury, unusual discomfort, or any condition that may make continued participation unsafe.

3. Physical Readiness and Medical Disclosure

I represent and certify that, to the best of my knowledge:

• The Participant is physically capable of participating in athletic performance training.
• I have disclosed all known medical conditions, injuries, allergies, medications, restrictions, and health concerns that could affect safe participation.
• I will promptly notify HP Speed Lab if the Participant’s medical condition, medication, injury status, or activity restrictions change.
• I understand that HP Speed Lab and its coaches do not diagnose medical conditions or determine whether a Participant is medically fit to participate.
• I will consult a licensed healthcare provider before participation when I have questions or concerns about the Participant’s health or physical readiness.

I understand that HP Speed Lab may require medical clearance before allowing a Participant to begin or resume training when reasonably necessary for safety.

Participant or Parent/Guardian Initials:

4. Participant Safety Responsibilities

The Participant agrees to:

• Follow all instructions given by HP Speed Lab coaches and staff.
• Use equipment only as instructed.
• Wear appropriate athletic clothing and footwear.
• Participate within their physical abilities.
• Immediately report pain, dizziness, illness, injury, or unsafe conditions.
• Avoid reckless, dangerous, disruptive, or intentionally unsafe behavior.
• Respect coaches, staff, other Participants, visitors, equipment, and facilities.
• Follow all safety rules for indoor and outdoor training locations.

I understand that failure to follow these requirements may increase the risk of injury and may result in removal from an activity or training session.

5. Parent or Guardian Responsibilities

When the Participant is under eighteen years of age, the Parent or Legal Guardian agrees to:

• Provide accurate and current emergency contact information.
• Keep the Participant’s medical information current.
• Inform HP Speed Lab of medical restrictions, injuries, allergies, medications, and other health concerns.
• Ensure the Participant arrives properly dressed and prepared to train.
• Encourage the Participant to honestly report injuries, illness, pain, or physical limitations.
• Keep the Participant home when illness or another condition could create a health or safety risk.
• Arrange for prompt transportation and pick-up following training sessions.

6. Indoor and Outdoor Training

I understand that HP Speed Lab activities may occur at its primary training facility or at approved off-site locations, including athletic fields, running tracks, schools, parks, stadiums, sports complexes, and other suitable training locations.

I understand that outdoor training may involve additional risks, including weather conditions, heat, cold, lightning, wet surfaces, uneven terrain, insects, limited shelter, and changing field conditions.

HP Speed Lab may relocate, modify, postpone, or cancel activities when it determines that weather, facility conditions, scheduling issues, or safety concerns make such action appropriate.

7. Emergency Medical Authorization

If the Participant becomes injured or ill and HP Speed Lab reasonably believes medical attention is necessary, I authorize HP Speed Lab and its coaches or staff to:

• Provide reasonable first-aid assistance.
• Contact the Parent, Legal Guardian, or emergency contact.
• Contact emergency medical services, including 911.
• Provide emergency responders with relevant information supplied during registration.

I understand that emergency circumstances may require HP Speed Lab to act before a Parent, Legal Guardian, or emergency contact can be reached.

I accept financial responsibility for ambulance transportation, medical evaluation, treatment, hospitalization, medication, and any other healthcare expenses arising from an injury or medical emergency involving the Participant.

Emergency Medical Authorization Initials:

8. Release of Liability

To the fullest extent permitted by applicable law, I, on behalf of myself, the Participant, and our respective heirs, representatives, successors, and assigns, voluntarily release and hold harmless Horsepower Speed & Performance Training LLC, doing business as HP Speed Lab, and its owners, members, managers, employees, coaches, trainers, contractors, volunteers, representatives, and agents, collectively referred to as the “Released Parties,” from claims for injury, loss, or damage arising from the ordinary and inherent risks associated with participation in HP Speed Lab activities.

This release applies to HP Speed Lab training sessions, evaluations, camps, clinics, events, competitions, indoor activities, outdoor activities, and other authorized programs.

This release does not apply to liability that cannot legally be waived under North Carolina law.

Release of Liability Initials:

9. Indemnification

To the extent permitted by applicable law, I agree to indemnify and hold harmless the Released Parties from claims arising from:

• The Participant’s intentional misconduct.
• The Participant’s reckless or intentionally unsafe behavior.
• A material breach of the responsibilities contained in this Waiver.
• Inaccurate or intentionally withheld medical or emergency information.

This provision does not require indemnification where prohibited by applicable law.

10. Incident Documentation

If an injury, accident, or safety concern occurs, I understand that HP Speed Lab may document the incident for legitimate safety, insurance, legal, or business purposes.

Documentation may include incident reports, witness statements, photographs of the training area or equipment, and other relevant records.

Such information will be handled in accordance with HP Speed Lab’s applicable privacy practices.

11. Governing Law and Severability

This Waiver shall be governed by the laws of the State of North Carolina.

Any legal proceeding relating to this Waiver shall be brought in a court of competent jurisdiction located in North Carolina, unless otherwise required by applicable law.

If any portion of this Waiver is determined to be invalid or unenforceable, the remaining provisions shall continue in full force and effect to the fullest extent permitted by law.

12. Final Acknowledgment

By signing below, I acknowledge that:

I have carefully read this Assumption of Risk, Release of Liability and Emergency Medical Authorization.

I understand that athletic training involves inherent risks, including the possibility of serious injury, disability, or death.

I voluntarily accept the known and unknown risks associated with participation.

I understand that I am giving up certain legal rights to the extent permitted by applicable law.

I certify that the medical and emergency information provided for the Participant is accurate and complete to the best of my knowledge.

I am signing voluntarily and have had the opportunity to ask questions before signing.

For a minor Participant, I certify that I am the Participant’s Parent or Legal Guardian, or that I otherwise have legal authority to sign this Waiver and authorize the Participant’s involvement in HP Speed Lab activities.

Electronic Signature

Participant: {name}

Parent, Legal Guardian or Adult Participant Signing:

Date Signed: {sign_date}

Final Initials: