SIGNUP / VISIT
CrossFit Payback Drop In Signup
Select the classes on the calendar you'd like to drop into.
The calendar contains CrossFit Payback's classes they allow drop-ins to attend. You can select as many classes as you'd wish to attend, and your fee will be adjusted accordingly.
Drop In Fee Details
The following invoice shows what you will be charged as you select classes to drop into.
Please enter your information below to register and pay for your drop-in classes
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Were you referred by another member?
If other, please let us know where.
Leave a short message for the gym.
Please answer the following questions:
I have applied to CrossFit Payback's CrossFit based exercise training program at 204 Sturtevant Street, Norwich, CT 06360
I acknowledge that I should consult with my physician before beginning any exercise program.
I certify that I am not aware of any medical condition which would render me unfit to participate in any exercise program and that I will inform CrossFit Payback immediately of any change in my medical condition.
I agree that if I experience symptoms such as shortness of breath, chest pain, unusual fatigue, dizziness or fainting, or extreme pain, whether or not I am under the direct supervision of my trainer, I will immediately stop exercising and inform a representative of CrossFit Payback of my symptons.
I authorize any representative of CrossFit Payback to obtain emergency medical treatment for me, including transportation to a hospital or other medical facility.
I understand that there are risks inherent in any exercise program including, but not limited to heart attack, stroke, orthopedic injury, injuries caused by the use of exercise equipment and others. These injuries can occur suddenly and without warning and may result in death. I am voluntarily participating in this training program with knowledge of the dangers involved, and I hereby agree to accept any and all risks of injury or death, and verify this statement by my signature below.
For and in consideration of permitting me to participate in the program, I, for myself and for my heirs, beneficiaries, and personal representatives, hereby release and forever discharge CrossFit PayBack and its directors, officers, members, managers, employees, agents, attorneys, insurers, successors, and assigns (collectively, "CrossFit Payback Parties"), for any and all claims, damages, loses, liabilities, rights, actions, causes of action, expenses, and suits of any kind whatsoever, foreseen or unforeseen, for personal injury, wrongful death, damage to property, or otherwise resulting from my participating in the program and/or the acts of omissions of any of CrossFit Payback parties, including any and all negligent acts, whether active or passive, irrespective of whether such injuries, death, or damages occur during training or thereafter.
I have carefully read this release and fully understand its contents. I am at least 18 years of age (or have a Child addendum on file, signed by parent/guardian). I am aware that this is a release of liability and a contract between me and CrossFit Payback and sign it of my own free will.
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Crossfit Payback 204 Sturtevant St Norwich, CT 06360 860-213-5849
204 Sturtevant Street
Norwich, CT 06360
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