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Gym & Fitness Liability Waiver
First name
Last name
Email
Date of Birth
Do you have a doctor’s permit to participate in intense physical activities?
No
Yes
Please specify anything we should know about
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
Submit
Thanks for submitting!
Emergency Contact Form
YOUR OWN DETAILS:
First name
Last name
Email
Phone
Address
YOUR EMERGENCY CONTACT DETAILS:
Contact First Name
Contact Last Name
This contact is my
Contact Phone Number
Contact Email
Submit
Thanks for submitting!
We’ll contact this person only in case of emergency.
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