Boutique Fitness Class Waiver Form

Personal Information

Full Name Email Address Phone Number Date of Birth

Emergency Contact

Name Phone Number

Medical Information

Relevant Medical Conditions, Injuries, or Allergies

Waiver & Release of Liability

I acknowledge that participation in boutique fitness classes carries inherent risks and I voluntarily accept responsibility for any injury or illness that may result. I hereby release the studio, its instructors, and affiliates from any and all liability. I confirm that I am physically able to participate and have disclosed any relevant health issues.