LIABILITY WAIVER AND RELEASE FORM Are you 18 years of age or older? * Yes No Responsible Party's Name * First Name Last Name Email * Phone (###) ### #### WAIVER & RELEASE * ELLER ENTERPRISE LLC, WAIVER & RELEASE BY USING THE STRIKECOACH AND/OR STRIKECOACH ACCESSORIES (COLLECTIVELY, THE “STRIKECOACH EQUIPMENT”) AND/OR PARTICIPATING IN ANY STRIKECOACH ACTIVITIES, DEMONSTRATIONS, AND/OR COACHING SESSIONS, EITHER ONLINE OR IN PERSON, YOU AGREE AND CONSENT TO BE BOUND BY ALL TERMS PRESENTED IN THIS WAIVER AND RELEASE. Eller Enterprise, LLC (“Eller”) requires that all participants follow safety rules and instructions that are designed to protect everyone’s safety. However, you acknowledge that there is an inherent risk of injury when choosing to participate in fitness activities. YOUR RESPONSIBILITY You are solely responsible for determining whether you are physically and mentally fit and/or adequately skilled to participate in StrikeCoach activities, demonstrations, and/or coaching sessions and use StrikeCoach Equipment. Risks from participating in StrikeCoach activities, demonstrations, and/or coaching sessions may be aggravated if you are pregnant, suffer from an underlying medical condition, take medication, smoke cigarettes, have a family history of coronary disease, or have recently suffered an illness, injury or impairment. Accordingly, it is your responsibility to consult a physician before undertaking any fitness activity. It is also your responsibility to determine, during your participation in StrikeCoach activities, demonstrations, and/or coaching sessions, whether you should discontinue your participation in such activities or take any other actions to protect your health or safety. RIGHT TO USE In addition, because Eller captures its demonstrations and coaching session on video, audio and still images for possible marketing material on all forms of media and/or R&D, by participating in a demonstration and/or coaching session you grant Eller permission to use some or all of your name, StrikeCoach profile information, visual likeness, voice recording, graphics, photographs or other artwork and any other information you provide to Eller or its employees or agents (such as coaches)(for simplicity, these items will be referred to as “Materials”) in one or more of its content, products and advertising, in any form or format now known or hereafter created, and distributed or made available throughout the world in perpetuity, without compensation to or further approval from you. If you do not want the Materials to be captured, published or broadcast for such uses, then you must choose not to participate in a demonstration and/or coaching session at any event that Eller is participating or during any StrikeCoach coaching session. You understand and agree that Eller shall be the exclusive owner of its products, content and advertising, including those containing the Materials, and that you are not entitled to any remuneration for such use. Aside from the use of Materials for the purposes referenced above, Eller’s use of personal information is governed by its Privacy Policy. WARNING OF RISK FROM FITNESS ACTIVITIES Aerobic and other fitness activities such as indoor boxing, heavy bag or speed bag striking, or jogging, plyometrics, jumping rope, floor and barre exercises, passive/resistive weight training, use of stair machines, treadmills, free weights, and other training devices are intended to challenge and engage the physical, mental and emotional resources of the participant. Despite careful and proper preparation, instruction, medical advice, and conditioning, participation in fitness activities involves a risk of serious injury. All hazards and dangers cannot be foreseen. Depending on the particular activity, certain risks, dangers and injuries due to overexertion, lack of hydration, improper technique, ignoring safety precautions, failing to properly follow instructions, slips and falls, unfamiliarity with the equipment and/or exercise, equipment failure, failure in supervision/instruction, premises defects and other risks inherent to the particular activity exist. Nonetheless, you hereby agree to assume all risks of your participation in StrikeCoach activities, demonstrations, and/or coaching sessions, whether known or unknown to you. Depending upon a person’s physical condition, age and/or skill level, fitness activities can involve a substantial risk of the following types of injuries, among others: (i) heart attack, stroke and circulatory problems, (ii) bone and joint injuries, (iii) back and neck injuries, (iv) shin splints, (v) muscle strain and other muscle injuries, (vi) foot problems, (vii) psychological injury, pain or suffering, (viii) disfigurement,(ix) temporary or permanent disability (including paralysis), (x) death or (xi) economic loss. MEDICAL EXAMINATION It is the responsibility of all participants to have a complete physical examination by a medical doctor prior to beginning any activity. If a participant has, or has a history of, any of the conditions listed in the “YOUR RESPONSIBILITY” section of this document, he/she should consult a physician before participating in any fitness activity. WAIVER AND GENERAL RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK You recognize and acknowledge that there are inherent risks of physical injury to participants in any fitness activities, including when using StrikeCoach Equipment, and you voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that you may sustain as a result of said participation. As a material inducement for Eller to permit you to participate in StrikeCoach activities, demonstrations, and/or coaching sessions, to use StrikeCoach Equipment, you hereby, on behalf of yourself, your heirs, executors and assigns, fully, forever and irrevocably waive, release and hold Eller, its shareholders, directors, agents, representatives, employees, consultants, affiliated companies, partners, and successors (collectively “Eller Parties”) harmless from any and all claims (including, to the extent permitted by applicable law, claims alleging negligence on behalf of any Eller Party), injuries, damages or loss (including legal fees), present or future, foreseen or unforeseen, anticipated or unanticipated (collectively “Claims”), that you may have (or that accrue to you) against any Eller Party, and generally release and discharge the Eller Parties from any and all Claims, including but not limited to those involving: (i) participating in any supervised or unsupervised fitness activities, (ii) use of any fitness equipment, including StrikeCoach Equipment, (iii) any loss or theft of personal property, and (iv) accidental injuries, such as “slip and fall” injuries on or outside of Eller temporary premises, and you hereby promise never to assert or assist any other party in asserting, any claims or causes of action against any Eller Party in any matter that in any way relates to any Claims. FOR ELLER AFFILIATES: VOLUNTARY PARTICIPATION If you are affiliated with Eller or StrikeCoach, you acknowledge and agree that your participation in StrikeCoach activities, demonstrations, and/or coaching sessions and your use of StrikeCoach Equipment is purely recreational, voluntary and of your own free will, and is not a condition or within the scope of your affiliation with Eller (unless you are the Coach designated by Eller to lead the fitness activity in question). To the fullest extent permitted by law, in addition to the release in the preceding paragraph, you agree to fully release and discharge the Eller Parties from all liability under any workers’ compensation insurance plan and relinquish any right to sue the Eller Parties in connection with any injuries, damages or loss, regardless of severity, that you may sustain as a result of said participation. By participating in any fitness activities and/or visiting Eller booths, stage, demonstration area, you agree and acknowledge that you have read and fully understand the above important information, warning of risk, authorization, assumption of risk, and waiver and general release of all claims. AUTHORIZATION: In the event of any emergency, you authorize Eller to secure from any accredited hospital and/or physician any treatment deemed necessary for your immediate care and agree that you will be solely and personally responsible for payment for any and all medical services rendered and for the cost of travel to and from the place of medical treatment. I represent that: (i) I am at least 18 years old, (ii) where under 18 years old, I am at least 16 years old and have the permission of my parent or guardian to participate and I am accompanied by them at all times; and (iii) I have no health-related conditions that could affect my participation in StrikeCoach activities, demonstrations and/or coaching sessions. I have read and fully understand the above important information, warning of risk, authorization, assumption of risk, and waiver and general release and discharge of all claims. I have read and understand Waiver & Release terms as well as the risks involved and I voluntarily assume all such risks. MEDIA RELEASE * The StrikeCoach Team has my permission to record and collect video/audio/collected information for commercial purposes. By clicking yes, I agree to the terms above. I grant permission for photos/videos taken during activities to be used for promotional purposes. I DO NOT grant permission for photos/videos taken during activities to be used for promotional purposes. Thank you!