Copy of Copy of Copy of Registration Page Banner.png

Copy of Copy of Registration Page Banner (3).png

Copy of Overview of Competition Section Banner.png

Before participating in our event, we kindly ask that you complete our

Liability Waiver and Media Release Form below.

This form ensures that you understand and accept any risks associated with your participation and agree not to hold our organization responsible for any unforeseen incidents.

It also gives us permission to capture and use photos or videos taken during the event for promotional purposes, such as on our website or social media.

Your safety, comfort, and privacy are important to us, and this form helps create a transparent, respectful and safe experience for everyone involved.

Sorry, but this form is now closed.

Event Liability Waiver & Media Release

Event Name: 2025 Amy Caprio Classic

Event Date: September 20th, 2025

Location: Exile Fitness

Hosted by: Amy Caprio Clasic, Corp.

LIABILITY WAIVER

IMPORTANT: READ CAREFULLY BEFORE SIGNING

In consideration of being allowed to participate in the above event (hereafter “Event”), I, the undersigned participant (or parent/legal guardian if participant is under 18), agree to the following:

1. Assumption of Risk

I acknowledge that powerlifting is a physically demanding and potentially hazardous activity involving serious risks of injury or death. I freely and voluntarily assume all risks, including but not limited to: muscle strains, sprains, fractures, heart attacks, paralysis, and other injuries.

2. Medical Clearance

I affirm that I am in good physical condition and do not suffer from any condition that would prevent or limit my participation. I have either had a recent medical check-up or accept full responsibility for my health status.

3. Release of Liability

I hereby release, waive, discharge, and hold harmless Exile Fitness, Amy Caprio Classic, Corp., its officers, organizers, sponsors, volunteers, agents, and affiliated entities from any and all liability, claims, demands, actions, or causes of action whatsoever, for any loss, damage, or injury, including death, that may be sustained while participating in the Event.

4. Indemnification

I agree to indemnify and hold harmless the above parties from any loss, liability, damage, or costs they may incur due to my participation, whether caused by negligence or otherwise.

5. Emergency Authorization

In the event of injury or illness, I authorize the Event organizers to obtain medical treatment and agree to be financially responsible for such treatment.

6. Severability

If any portion of this waiver is held to be invalid, the remaining portions shall remain in full force and effect.

MEDIA RELEASE

I hereby grant Amy Caprio Classic, Corp., its agents, and assign the right and permission to use photographs, video recordings, and/or audio recordings of me taken at the Event for promotional, commercial, or educational purposes in print, digital, or online formats.

I understand that:

These materials may be used without further notice or compensation.
My name or likeness may be used in connection with these images or recordings.
All media will become the property of Amy Caprio Classic, Corp.

I waive any right to inspect or approve the final product or the context in which it appears.

By checking this box, I confirm that I have read, understood, and agree to the terms of the Liability Waiver and Media Release.

Participant's First Name

Participant's Last Name

Signature of Participant or Parent/Guardian (If Participant is Under 18 Years Old)

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Today's Date