CrossFit Tava Recovery Booth Waiver

This Liability Waiver (“Agreement”) is entered into as of 01/11/2025, by and between Summit Physio & Performance, LLC, Dr. Tessa Kothe, PT, DPT, Cert. DN, and Dr. Catherine Cui, PT, DPT a licensed Physical Therapist, hereinafter referred to as “Therapist”, and the undersigned, hereinafter referred to as “Participant”.

1. SERVICES: The Participant acknowledges and agrees that they are voluntarily engaging in injury and/or mobility screenings, as well as physical therapy-related interventions (collectively referred to as the "Services"). These Services may include, but are not limited to: myofascial decompression (cup therapy), soft tissue massage, instrument-assisted soft tissue mobilization (scraping), joint mobilization, joint manipulation, exercise recommendations, and the use of pneumatic compression boots. The Participant further understands that these Services do not constitute medical care, a formal physical therapy evaluation, or physical therapy treatment provided by the Therapist.

2. ASSUMPTION OF RISK: The Participant acknowledges and accepts that participation in the Services involves certain inherent risks, including but not limited to physical discomfort, soreness, bruising, or other unintended effects that may arise from manual techniques, therapeutic exercises, or the use of specialized equipment. The Participant voluntarily assumes all risks associated with the Services, including any potential injuries or adverse effects, whether foreseen or unforeseen, that may occur as a result of their participation. The Participant understands and agrees that they are solely responsible for assessing their own physical condition and capabilities prior to engaging in the Services and will notify the Therapist of any concerns, conditions, or limitations that may impact their ability to safely participate.

3. WAIVER AND RELEASE: Participant, for himself/herself, his/her heirs, next of kin, personal representatives, and assigns, hereby release, waive, and discharge the Therapist, his/her affiliates, employees, and agents from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by Participant or any of the property belonging to Participant, while participating in the Services.

4. INDEMNIFICATION: Participant agrees to indemnify and hold harmless the Therapist from and against any and all losses, liabilities, claims, obligations, costs, damages, and/or expenses whatsoever paid, incurred and/or suffered by the Therapist which include, but are not limited to, any and all attorneys’ fees, costs, damages, and/or judgments the Therapist incurs in the event that Participant causes any injury, damage, and/or harm to the Therapist and/or any other party or parties involved with the Services.

5. PHYSICAL CONDITION AND INSURANCE: Participant declares to have suitable physical condition to participate in the Services and, to the extent Participant deems advisable, has consulted with his/her physician. Participant has adequate health insurance to cover any injury or damages that Participant may suffer, or alternatively, Participant agrees to bear the costs of such injury or damage.

6. CONSENT TO TREATMENT: Participant hereby provides consent to the Therapist to carry out the Services.

7. GOVERNING LAW: This Agreement shall be governed by and construed under the laws of the State of Colorado.

8. PHOTOS/VIDEOS: I authorize the Summit Physio & Performance, LLC and its associated health professionals to collect and publish photos and/or videos of Services. These photos/videos would be used for promotional and informational marketing material. 

Participant acknowledges that he/she has read and understands this Agreement, that Participant has had the opportunity to review this Agreement with legal counsel, and agree to all its terms and conditions.