06/02/2024
If you are attending the Not Gonna Backdown Class please read the following each participant will be ask to sing the release form.
RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT
In consideration of participating in the Not Gonna Back Down Training Event and for other good and
valuable consideration, I hereby agree to release and discharge from liability arising from negligence
Fire training Concepts LLC and Iron Horse Training LLC owners, directors, officers, employees, agents,
volunteers, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”)
, on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree
as follows:
1. I acknowledge that these activities involve known and unanticipated risks that could result in
physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks
include, but are not limited to, broken bones, bruises, and other bodily injuries caused by falls or
contact with objects, or other participants; medical conditions resulting from physical
activity; damaged clothing or other property; coming in contact or contracting the Covid-19 virus
or any other viruses. I understand such risks simply cannot be eliminated, despite the use of safety
equipment, without jeopardizing the essential qualities of the activity.
2. I expressly accept and assume all of the risks inherent in this activity or that might have been
caused by the negligence of the Releasees. My participation in this activity is purely voluntary
and I elect to participate despite the risks. In addition, if at any time I believe that event
conditions are unsafe or that I am unable to participate due to physical or medical conditions, then
I will immediately discontinue participation.
3. I expressly accept and assume all of the risks inherent in this activity or that might have been
caused by the negligence of the Releasees known that this event is in a group setting and that I
may come in contact with or contract the Covid-19 virus or any other viruses. My participation in
this activity is purely voluntary, and I elect to participate and release any liability from the
Releasees despite the risks.
4. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless
Releasees from any and all claims, demands, or causes of action which are in any way connected
with my participation in this activity, or my use of their equipment or facilities, arising from
negligence. This release does not apply to claims arising from intentional conduct. Should
Releasees or anyone acting on their behalf be required to incur attorney’s fees and costs to
enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5. I represent that I have adequate insurance to cover any injury or damage I suffer or cause while
participating in this activity, or else I agree to bear the costs of such injury or damage myself. I
further represent that I have no medical or physical condition which could interfere with my
safety in this activity, or else I am willing to assume- and bear the costs of- all risks that may be
created, directly or indirectly, by any such condition.
Fire Training Concepts LLC and Iron Horse Training LLC
557 Pridgen Road Lumberton, NC 28358
Phone: (910) 740-0861
6. In the event that I file a lawsuit, I agree to do so solely in the state and the county where the
Releasees’ facility is located, and I further agree that the substantive law of that state shall apply.
7. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining
portions shall remain in full force and effect.
By signing this document, I agree that if I am hurt or my property is damaged during my participation in
this activity, then I may be found by a court of law to have waived my rights to maintain a lawsuit against
the parties being released on the basis of any claim for negligence.
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal
counsel prior to signing. Also, I understand that this activity might not be made available to me or that the
cost to engage in this activity would be significantly greater if I choose to not sign this release, and agree
that the opportunity to participate at the stated cost in return for the ex*****on of this release is a
reasonable bargain.
I have read and understood this document and agree to be bound by its terms.
Name_______________________________________________
Address___________________________________________________________________________
Signature________________________________________________________
Date________________________
PARENT OR GUARDIAN ADDITIONAL AGREEMENT
(Must be complete for Participants under the age of 18)
In consideration of the minor/ minors listed below being permitted to participate in this activity, I further
agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought
by or on behalf of minor/ minors or are in any way connected with such participation by minor/ minors.
Name/s of Minor/s__________________________________________________________
Parent Guardian Signature_____________________________________________
Date________________________________
