Fitness Consent Form

3024 Informed Consent Form
Which workout will you be participting in?
Please read through each and every item in this informed consent and mark each checkbox provided as an affirmation to the understanding of the provisions below. Feel free to ask us questions or raise with us some concerns, any time. 3024: E-mail address: 3024coaching@gmail.com Phone: 719-229-1060
Purpose
Risks
Confidentiality
What areas are you most interested (Click all that Apply)

Other
If you could improve 2 things around (How You Feel, Look and Perform) what would those be?
By signing this form, I have had the opportunity to ask questions and those were answered to my satisfaction. I understand all the terms, my rights, as well as my obligations herein. I voluntarily give my consent and I declare that I was not induced or coerced into signing this form.
Age Verification
Name

First NameLast Name
Email
example@example.com
Date

MonthDayYear
Date
Signature
Parent/Guardian/Representative

First NameLast Name
Email
example@example.com
Date

MonthDayYear
Date
I am excited to have you in our Uplyfting.net Community

- Weekly Workouts (Digital as well as Printable PDF)

- Weekly Stories-

- And Huge Bonus.. Bad Chad Jokes.

Normally $99 per month. Founders Special....$17 per month
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3024 Informed Consent Form