Barbells & Brews for Boobs: Signup Form

Event Date: Saturday, October 10, 2015; 10:30am - 8:00pm
(Competition 10:30-3:30; Afterparty 3:30-8:00)

Location: CFV & VBC (we are neighbors) 41266 Hwy 6, Eagle-Vail, CO 81620

Cost: Please donate! All proceeds go to Barbells for Boobs
which is a 501(c)3 non-profit organization dedicated to the early
detection of breast cancer, with an emphasis on women under the age of 40 and men.

Description:CFV is teaming up with VBC to put on our 5th annual fundraiser for Barbells for Boobs
which is a 501(c)3 non-profit organization dedicated to the early detection of
breast cancer, with an emphasis on women under the age of 40 and men.

Inspired by athletes everywhere, local communities come together, fundraise, and help
to detect potentially life threatening breast cancer occurrences. Everyone Has A RIGHT To Know!!

Join CFV and VBC this day to support this cause!

Our B4B Page: https://fundraise.barbellsforboobs.org/fundraise/team?ftid=56703

FB Event Page: https://www.facebook.com/events/853581158071364/
**This is where we are primarily promoting the event and putting out the information about it (announcements).**

Competition Details:The format for this year's event will be:
2 Scheduled Events & 1 Floater
You can compete in either: Teams of 4 (2 Male, 2 Female) OR Individually
There will be 2 divisions: Competitive OR Open
The Competitive Division is eligible to win the prizes. You must do be able to do all workouts as prescribed.
A Competitive Division TEAM must have 2 males and 2 females.

The Open Division is not eligible to win the prizes (except Best Dressed and Top Fundraiser).
You can scale and/or modify all workouts as needed. You can have any mixture of males/females
on the TEAM (for example 4 females or 4 males).

Exercise List with Max Weights for Competitive Division is as follows:
Deadlift- 250/185 lbs
Back squat- 205/135 lbs
Front squat- 135/95 lbs
Power clean- 135/95 lbs
Squat clean- 135/95 lbs
Jerk- 135/95 lbs
Thruster- 135/95 lbs
Overhead squats- 95/65 lbs
Power snatch- 95/65 lbs
Squat snatch- 95/65 lbs
SDHP- 95/65 lbs
KB swing- 53/35 lbs
Pull-Ups- Chin over
Jumps- Yes
Wall Ball- 20/14 lbs 10’ Target
Burpees- Yes
Toes to Bar- Yes
Pushups- Yes
Lunges- Yes
Odd objects- Yes
Double Unders- Yes
Rowing- Yes
Running- Yes
Tires- Yes
HSPU- Yes

**This is a fitness-testing event, so please be prepared for anything; this is not an exhaustive list.
In all movements you will be required to hit the full range of motion required of you, so make sure you are
practicing hitting full range of motion in preparation for this event. Please remember that this is a team competition,
and you will not be doing these movements alone.**

Other Event Details:
DJ Omar will be MCing the event and the afterparty.
A portion of beer sales form VBC at the afterparty will go directly to Barbells for Boobs.
Prizes for: Top Competitors in the 'Competitive Division', Top Fundraiser, Best Dressed.
There will be a raffle with drawings all throughout the event.

Individual or Team Info
Individual or Team?*: Team Name?*


Athlete Info
Athlete/Team Captain Name*: Athlete/Team Captain Email?*:
Donation Amount*: Athlete/Team Home Gym (optional):


The following is payment billing information
Name On Card*: Billing Street Address*:
City*: State*:
Zip*: Email*:


Waiver* :
 

Waiver and Release of Liability

   CFV
41266 Hwy 6, Eagle-Vail
CO 81620

Express assumption of risk: I am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my training partner, or other people around me, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at CFV. I, the undersigned acknowledge that I have no physical impairments or illnesses that will endanger myself or others.

Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at CFV, I, the undersigned hereby release CFV, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of CFV, their principals, agents, employees, and volunteers. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with CFV to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

Indemnification: The participant recognizes that there is risk involved in the types of activities offered by CFV. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless CFV, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by CFV.

I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

PARENTAL CONSENT, (for participants under the age of 18) I, the undersigned parent or legal guardian of the child shown above, have read the above and understood the foregoing assumption of risk, and release of liability and agree to its terms on behalf of my child and myself. I understand that by signing below, I am giving up substantial rights on behalf of my child and myself.