SAMSON FITNESS
HYROX SIMULATION
PARTICIPANT WAIVER, INDEMNITY & ASSUMPTION OF RISK
Event Date Venue Event
10 October 2026 Samson Fitness HYROX Simulation / Functional Fitness Event
IMPORTANT: This document affects your legal rights. Please read it carefully before signing. By registering for, entering, attending and/or participating in this event, I confirm that I have read, understood and voluntarily agree to the terms below.
1. ACKNOWLEDGEMENT OF RISK
I understand that participation in a HYROX simulation and functional fitness event involves strenuous physical activity and carries inherent risks. These risks may include, but are not limited to:
• Running, sprinting and repetitive endurance exercise;
• Sled pushing and pulling;
• Rowing and SkiErg activities;
• Lunges, carries, wall balls and other weighted movements;
• Lifting, carrying, pushing or pulling equipment;
• Slips, trips, falls and collisions;
• Equipment failure or misuse;
• Muscle strains, sprains, fractures and other injuries;
• Dehydration, heat exhaustion or heat-related illness;
• Cardiovascular complications;
• Contact or collision with other participants, spectators, equipment or structures; and
• In rare circumstances, serious injury, permanent disability or death.
I freely and voluntarily accept the normal and inherent risks associated with participating in this event. I understand that the nature of the event may require me to exercise near my physical limits and that not every risk can be anticipated or eliminated.
2. HEALTH & FITNESS DECLARATION
I confirm that I am physically capable of participating in this event and that I am responsible for determining whether I am sufficiently fit and healthy to participate. I confirm that I am not aware of any medical condition, injury, pregnancy-related restriction, medication effect or other health issues that would make my participation unsafe without appropriate medical clearance. If I have any doubt regarding my ability to participate, I understand that it is my responsibility to obtain advice or clearance from an appropriately qualified medical professional before participating. I agree to immediately stop participating and inform an event official if I experience unusual pain, dizziness, chest pain, difficulty breathing, faintness or any other symptoms that may indicate a medical problem. I understand that Samson Fitness does not provide medical diagnosis or medical clearance and that the presence of coaches, first-aid personnel or event officials does not amount to a representation that participation is safe for me.
3. VOLUNTARY PARTICIPATION & ASSUMPTION OF RISK
I participate entirely voluntarily and accept responsibility for the normal and reasonably foreseeable risks associated with this type of physical activity. I understand that Samson Fitness, its owners, employees, coaches and event officials, cannot eliminate every risk associated with a physical fitness competition, including risks arising from the actions of other participants or from changing conditions during the event.
4. RELEASE & WAIVER OF LIABILITY
To the fullest extent permitted by South African law, I release and waive claims against Samson Fitness, its owners, directors, employees, coaches, contractors, volunteers, sponsors, partners, event organisers and venue representatives arising from the ordinary and inherent risks associated with my voluntary participation in the event. Nothing in this waiver is intended to exclude or limit liability where such liability cannot lawfully be excluded or limited. Nothing in this document is intended to waive rights or remedies that may not lawfully be waived under the Consumer Protection Act 68 of 2008 or other applicable South African law.
5. INDEMNITY
To the fullest extent permitted by law, I indemnify and hold harmless Samson Fitness and its owners, employees, coaches, contractors, volunteers and event officials against claims, losses, damages, liabilities or reasonable expenses arising from my own negligent, reckless or intentional conduct, my failure to follow event rules or reasonable safety instructions, or damage or injury I cause to another person or their property.
6. EVENT RULES, CONDUCT & SAFETY INSTRUCTIONS
I agree to comply with all event rules and with reasonable instructions given by Samson Fitness coaches, judges, marshals and event officials. I understand that an event official may modify a movement, require scaling, stop my participation, refuse me permission to start or remove me from the event where they reasonably believe that participation may create an unacceptable safety risk, where I appear unfit to continue, or where I fail to comply with event rules or instructions. I agree to use all equipment responsibly and only for its intended purpose. I will not participate while under the influence of alcohol, illegal drugs or any substance that materially impairs my ability to participate safely. I will behave responsibly towards other participants, staff, spectators and property.
7. MEDICAL TREATMENT & EMERGENCIES
If I become injured or require medical assistance during the event, I authorise Samson Fitness and its event personnel to provide or arrange reasonable emergency first aid and/or medical assistance where necessary, including contacting emergency services and, where reasonably required, arranging transport for medical treatment. I understand that I remain responsible for medical, ambulance, hospital or related costs incurred on my behalf, except where applicable law provides otherwise. I understand that event personnel may rely on the emergency contact and relevant information I provide.
8. PERSONAL PROPERTY
I understand that I am responsible for my own personal belongings brought to the event. To the fullest extent permitted by law, Samson Fitness accepts no responsibility for loss, theft or damage to personal property unless liability cannot lawfully be excluded.
9. PHOTOGRAPHY, VIDEO & PERSONAL INFORMATION
I understand that photographs and video recordings may be taken during the event. I consent to Samson Fitness using images or recordings in which I appear for reasonable event reporting, promotional, advertising, website and social-media purposes without payment to me. Samson Fitness will handle personal information collected for registration, safety, emergency, event administration and media purposes in accordance with applicable South African privacy law, including the Protection of Personal Information Act 4 of 2013 (POPIA), where applicable. I understand that I may raise a reasonable privacy concern with Samson Fitness before the event or with an event official on the day, although crowd or background inclusion cannot always be avoided.
10. PARTICIPANTS UNDER 18
Any participant under the age of 18 must have this waiver accepted and signed by a parent or legal guardian. The parent or legal guardian confirms that they have authority to give the required consent, consent to the minor's participation, acknowledge the risks described in this waiver and agree to its terms on behalf of themselves and, to the extent permitted by law, the minor.
11. PERSONAL RESPONSIBILITY
I understand that participation in this event is voluntary. I agree that I am responsible for training and preparing appropriately; selecting appropriate loads, divisions or scaling options where applicable; informing event staff of any relevant limitation where reasonably necessary for my safe participation; remaining appropriately hydrated and managing my own nutrition; wearing suitable clothing and footwear; checking my immediate exercise area before commencing a movement; and stopping if I believe that continuing is unsafe.
12. EVENT CHANGES, CANCELLATION & CONDITIONS
I understand that Samson Fitness may reasonably change the event format, timetable, heat allocation, movements, loads, course, equipment or safety procedures where necessary for operational, weather, facility or safety reasons. Any cancellation, postponement, transfer or refund arrangements remain subject to the event's applicable registration terms and South African consumer law.
13. SOUTH AFRICAN LAW & SEVERABILITY
This waiver and participation in the event are subject to the laws of the Republic of South Africa. Nothing contained in this waiver is intended to remove or restrict any rights that a participant has under the Consumer Protection Act 68 of 2008 or any other applicable legislation where those rights may not lawfully be waived. If any provision of this document is found to be invalid or unenforceable, that provision will be limited or severed only to the extent necessary, and the remaining provisions will continue to apply to the fullest extent permitted by law.
14. HYROX NAME / EVENT CLARIFICATION
I understand that this event is described as a “HYROX Simulation” for the purpose of simulating a functional fitness race format. Unless expressly stated otherwise by an authorised rights holder, participation does not mean that this event is an official HYROX race or that Samson Fitness is affiliated with, endorsed by or sponsored by HYROX.
PARTICIPANT DECLARATION
BY SIGNING BELOW, I CONFIRM THAT:
• I have read and understood this waiver, indemnity and assumption of risk.
• I have had the opportunity to ask questions before signing.
• I understand that the event involves strenuous physical activity and carries inherent risks of injury.
• I voluntarily choose to participate and accept the normal and inherent risks associated with participation.
• I confirm that I am physically capable of participating or have obtained appropriate medical advice where necessary.
• I agree to comply with event rules and reasonable safety instructions given by Samson Fitness and its event officials.
• I understand that this document affects my legal rights, and I agree to it voluntarily.
☐ I HAVE READ, UNDERSTOOD AND AGREE TO THE SAMSON FITNESS EVENT WAIVER, INDEMNITY AND ASSUMPTION OF RISK.
Full Name: ____________________________________________________________
ID / Passport Number: ____________________________________________________________
Date of Birth: ____________________________________________________________
Emergency Contact Name: ____________________________________________________________
Emergency Contact Number: ____________________________________________________________
Signature: ____________________________________________________________
Date: ____________________________________________________________
FOR PARTICIPANTS UNDER 18
I confirm that I am the participant's parent or legal guardian and consent to the minor's participation subject to the terms above.
Participant Full Name: ____________________________________________________________
Parent / Legal Guardian Full Name: ____________________________________________________________
Parent / Guardian ID / Passport Number: ____________________________________________________________
Parent / Guardian Contact Number: ____________________________________________________________
Parent / Guardian Signature: ____________________________________________________________
Date: ____________________________________________________________