Pound for Pound Intake Forms

General Information
Name*

First NameLast Name
Email
example@example.com
Phone NumberEmail
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Instagram Handle
How did you hear about us?

WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
Signature* Date*

Singing this form is a consent of reading, understanding and agreement to abide by the terms and conditions stated in Pound for Pound Master Body Sculpting Waiver and Release of Liability and Indemnity.

Print Name of Parent or Guardian if under the age of 18
Should be Empty: