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YOUTH WAIVER FORM

Because physical exercise can be strenuous and subject to serious injury, you're encouraged to obtain a physical examination from a qualified physician before using any exercise equipment or participating in any physical activity. You agree that your child does so entirely at your own risk by participating in physical exercise or training activities, online or offline. Any recommendation for changes in diet including the use of food supplements, weight reduction, and/or body-building enhancement products is entirely your responsibility and you should consult a physician before undergoing any dietary or food supplement changes. You agree that you are voluntarily placing your child in these activities and assume all risks of injury, illness, or death. You expressly agree to release and discharge the trainer/instructor of QUEEN CITY BOXING and its associated facilities, online/virtual programs, or digital products from any claims or causes of legal action. By signing this document, you agree to voluntarily give up or waive any right that you may otherwise have to bring legal action against the trainer/instructor of QUEEN CITY BOXING for personal injury or property damage. You hereby acknowledge this release from liability for accidental injury or illness that I (or my child) may incur as a result of participating in any physical activity at or involved with QUEEN CITY BOXING. You hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my (and my child's) physical limitations, disabilities, ailments, or impairments that may affect my (or my child's) ability to participate in this program.

Has your child been previously diagnosed with an injury and/or ailment that would prohibit he/she from physical exertion and/or participating in physical activities?
PHOTO/VIDEO RELEASE: I hereby authorize QUEEN CITY BOXING to publish photographs and/or video taken of me and the undersigned minor child(s), and our names, for use in QUEEN CITY BOXING social media publications and websites.

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©copyright. ALL RIGHTS RESERVED 2025. QUEEN CITY BOXING

1620-D McAra St

Regina, SK
S4N 6H6

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