BY SIGNING BELOW, I HEREBY AUTHORIZE COREY BACHAND/TPES TO ACT FOR ME, MY CHILD                         

OR GUEST IN ANY EMERGENCY AND HEREBY
RELEASE AND AGREE TO INDEMNIFY COREY BACHAND, HIS STAFF, AND OTHER PARTICIPANTS FROM
ANY LIABILITY FOR ANY INJURIES OR ILLNESS, LOSSES, OR DAMAGES SUSTAINED WHILE I, THE ABOVE
MINOR, OR GUEST INVOLVED ARE PARTICIPATING IN ANY ACTIVITIES PROVIDED BY COREY BACHAND
AND HIS STAFF AND PHYSICAL TRAINING SESSIONS. I FUTHER UNDERSTAND THAT ATTENDING A
PROGRAM OF THIS KIND CAN INVOLVE RISK OF INJURY. I ACCEPT FULL RESPONSIBILITY FOR MY AND
THE ABOVE MENTIONED PARTICIPANTS MEDICAL BILLS, IF ANY, AND ALL OTHER ASSOCIATED
EXPENSES AS A RESULT OF INJURIES OR ILLNESS SUSTAINED WHILE ANY OF THE SAID PERSONS ARE IN
ATTENDANCE. THE ABOVE MENTIONED PERSON IS ATTENDING AT HIS/HER OWN RISK.