I, {clientName}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I am informed that my information in this form will be kept confidential.
3:23 Training & Development has informed me that I am the only responsible party both for all the injuries during the training program and incorrect information. I release and discharge 3:23 Training & Development and its coaches, administration and workers from any disclosure of my personal information in this Intake Form.
If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform the 3:23 Training & Development staff immediately.