• Zumba Class Registration Form For Fall Sessions Sept.17th - Oct. 29th

    Fall Sessions At The Doctors House - Wednesday Mornings At 10AM
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  • Registrant Information

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  • Emergency Contact Information

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  • Miscellaneous


  • Payment & Confirmation


  • ZUMBA WAIVER AND RELEASE OF LIABILITY


    I hereby agree to the following:


    1. I acknowledge that I am voluntarily participating in the training, programs, exercises, and events, including Zumba Classes and other fitness classes offered by Zumba/Fitness Instructor JLB Planning Ltd. (hereinafter referred to as Jennifer Bozzo) , The Doctor’s House, Rosedale Hospitality Group, JLB Planning Ltd. (hereinafter referred to as Jennifer Bozzo), and Elisa Graci – Limitless Freedom Int. Inc , or an alternate instructor during which I will receive instruction. I confirm that I am physically fit and have consulted with a physician regarding my participation, or have chosen to participate without such consultation, and have no medical condition that would prevent my full participation in this class.


    2. I understand and accept full responsibility for any and all risks, injuries, or damages, known or unknown, that I may incur as a result of participating in any fitness program. I assume full responsibility for my participation.


    3. In consideration of being permitted to participate in any group fitness class, I knowingly, voluntarily, and expressly waive any claim I may have against owners, landlords or insurers, any Zumba/Fitness Instructor, The Doctor’s House, Rosedale Hospitality Group, JLB Planning Ltd. (hereinafter referred to as Jennifer Bozzo), and Elisa Graci – Limitless Freedom Int. Inc., for injury or damages that I may sustain as a result of participating in the program.


    4. I, my heirs, or legal representatives forever release, waive, discharge, and covenant not to sue owners, landlords or insurers, any Zumba/Fitness
    Instructor, The Doctor’s House, Rosedale Hospitality Group, JLB Planning Ltd. (Jennifer Bozzo), and Elisa Graci – Limitless Freedom Int. Inc., for any injury or death caused by their negligence or other acts.


    5. I have read this release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

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