Shield Showdown 2015

The 2nd Annual Shield Showdown

Saturday,  July 11, 2015


Click Here for Shield Showdown 2015 Leaderboard


This is a competition designed to highlight the job skills of both police officers and fireman with a number of team events that will involve many simulated job specific movements.  Teams will consist of 2 fireman or 2 police officers, if possible from the same department.  Each team will be responsible for completing task that each occupation is routinely subjected to during training and on the job situations.  Details about sponsors/prizes will be announced soon along with some of the movement requirements.  While the showdown is designed to be a friendly competition amongst many different municipalities.  Any and all questions directed to [email protected]

100 Fairway – Suite 112 Vernon Hills,IL 60061

Signup Form:

Shield Showdown
Date: Saturday July, 11th 2015
Location:CrossFit Carbon
100 Fairway – Suite 112 Vernon Hills,IL 60061

Price: $90/team

Team Name* :

Athlete #1 Name* :

Athlete #1 Email* :

Athlete #1 Shirt Size* :

Select a Size

Mens SmallMens MediumMens LargeMens X-LargeWomens SmallWomens MediumWomens LargeWomens X-Large

Athlete #2 Name* :

Athlete #2 Email* :

Athlete #2 Shirt Size* :

Select a SizeMens SmallMens MediumMens LargeMens X-LargeWomens SmallWomens MediumWomens LargeWomens X-Large 

Department / Division :

Select OneFirePoliceThe following is payment billing information:
Name On Card* :

Billing Street Address* :

City* :

State* :

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip* :

Billing Email* :

Waiver* :

Waiver and Release of Liability

 

 

CrossFit Carbon
100 Fairway Drive – Suite 112
Vernon Hills, IL 60061
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 CrossFit Carbon. 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 CrossFit Carbon, I, the undersigned hereby release CrossFit Carbon, 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 CrossFit Carbon, 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 CrossFit Carbon 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 CrossFit Carbon. 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 CrossFit Carbon, 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 CrossFit Carbon.

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.

 



// <![CDATA[
function fillData(targetId,newVal){document.forms["shieldWod"][targetId].value=newVal;};function validateForm(){var teamName=document.forms["shieldWod"]["team_name"].value;var ath1Name=document.forms["shieldWod"]["ath1_name"].value;var ath1Email=document.forms["shieldWod"]["ath1_email"].value;var ath1shirt=document.forms["shieldWod"]["ath1_shirt"].value;var ath2Name=document.forms["shieldWod"]["ath2_name"].value;var ath2Email=document.forms["shieldWod"]["ath2_email"].value;var ath2shirt=document.forms["shieldWod"]["ath2_shirt"].value;var teamDivision=document.forms["shieldWod"]["team_division"].value;var cardName=document.forms["shieldWod"]["card_name"].value;var street=document.forms["shieldWod"]["street_address"].value;var city=document.forms["shieldWod"]["city"].value;var state=document.forms["shieldWod"]["state"].value;var zip=document.forms["shieldWod"]["zip_code"].value;var email=document.forms["shieldWod"]["client_email"].value;var waiver=document.forms["shieldWod"]["waiver"].checked;if (teamName==null || teamName==""){alert("Team name must be filled out");return false;}else if (ath1Name==null || ath1Name==""){alert("Athlete 1 Name must be filled out");return false;}else if (ath1Email==null || ath1Email==""){alert("Athlete 1 Email must be filled out");return false;}else if (ath1shirt==null || ath1shirt==""){alert("Athlete 1 Shirt Size must be filled out");return false;}else if (ath2Name==null || ath2Name==""){alert("Athlete 2 Name must be filled out");return false;}else if (ath2Email==null || ath2Email==""){alert("Athlete 2 Email must be filled out");return false;}else if (ath2shirt==null || ath2shirt==""){alert("Athlete 2 Shirt Size must be filled out");return false;}else if (teamDivision==null || teamDivision==""){alert("Team Division must be filled out");return false;}else if (cardName==null || cardName==""){alert("Cardholder Name must be filled out");return false;}else if (street==null || street==""){alert("Street Address must be filled out");return false;}else if (city==null || city==""){alert("City must be filled out");return false;}else if (state==null || state==""){alert("State must be filled out");return false;}else if (zip==null || zip==""){alert("Zip must be filled out");return false;}else if (email==null || email==""){alert("Email must be filled out");return false;}else if (waiver==null || waiver=="" || waiver=="false"||!waiver){alert("Waiver must be agreed to");return false;}var atpos=email.indexOf("@");var dotpos=email.lastIndexOf(".");if (atpos < 1 || dotpos=email.length){alert(“Not a valid e-mail address”);return false;}document.forms[“shieldWod”][“cust_id”].value=”guest – shield – ” + cardName;document.forms[“shieldWod”][“avs_zipcode”].value=zip;document.forms[“shieldWod”][“avs_street_number”].value=street.split(” “)[0];document.forms[“shieldWod”][“avs_street_name”].value=street.substring(street.indexOf(” “)+1);document.forms[“shieldWod”][“cardholder”].value=cardName;document.forms[“shieldWod”][“rvar_teamname”].value=teamName;document.forms[“shieldWod”][“rvar_ath1shirt”].value=ath1shirt;document.forms[“shieldWod”][“rvar_ath1Name”].value=ath1Name;document.forms[“shieldWod”][“rvar_ath1Email”].value=ath1Email;document.forms[“shieldWod”][“rvar_ath2Name”].value=ath2Name;document.forms[“shieldWod”][“rvar_ath2Email”].value=ath2Email;document.forms[“shieldWod”][“rvar_ath2shirt”].value=ath2shirt;document.forms[“shieldWod”][“rvar_division”].value=teamDivision;document.forms[“shieldWod”][“note”].value=”shirt sizes: ” + ath1shirt + ” and ” + ath2shirt + ” – division: ” + teamDivision;document.forms[“shieldWod”][“li_descriptionTN”].value = teamName;document.forms[“shieldWod”][“li_descriptionA1”].value = ath1Name;document.forms[“shieldWod”][“li_descriptionA2”].value = ath2Name;}
// ]]>

By | 2015-05-20T09:34:33+00:00 May 20th, 2015|Blog, Events|