Fitness Class Waiver & Info Sheet
Participant Information
Full Name
Date of Birth
Email
Phone Number
Emergency Contact Name
Emergency Contact Phone
Relevant Medical Conditions or Injuries
Personal Fitness Goals
Waiver & Release of Liability
I acknowledge that participation in fitness classes involves physical activities with risk of injury. I hereby assume all risks, and agree to release and hold harmless the class instructor, facility, and affiliates from any and all liability related to participation. I certify that I am physically fit and have disclosed relevant medical information above.
I have read and agree to the above waiver.
Participant Signature
Date
Parent/Guardian Name (if under 18)
Parent/Guardian Signature