Pride & Power – Registration Form

Pride & Power – Registration Form

Please complete the entire form.
Welcome to Pride & Power!

Pride & Power is a free, all-ages fitness class hosted by Henderson KY Pride in partnership with Ki Jace Davis, certified fitness coach and founder of Killed By Ki LLC. This weekly movement space is open to all bodies, all experience levels, and all identities — no judgment, just joy.

Please review the important details below before completing your registration:

🗓️ When: Saturdays from 10:00 - 11:00 AM
📍 Address provided in confirmation email after registration.
💵 Cost: Free to attend – donations are encouraged to help us keep the program accessible
🏳️‍🌈 Who: Open to all ages, all bodies, and all fitness levels
🧘🏽 What to Bring: Yoga mat, towel, and light weights (if you have them)
– We’ll have a limited supply available
💧 Extras: Water and light snacks will be provided at each session
Your registration includes a required liability and indemnification agreement that protects both Henderson KY Pride and Killed By Ki LLC. You must complete this form before attending your first class. Additionally, a location liability release will be signed upon arrival.

We can’t wait to move with you — with Pride & Power.
First Name*
Last Name*
Email*
Phone Number*
Age
Not required, but helps us plan out the class!
I am:*
If under 18, a guardian must sign the waiver before participating.
What best describes your current fitness experience level?*
If under 18, a guardian must sign the waiver before participating.
Do you have any injuries, accessibility needs, or health concerns you’d like us to be aware of?
Optional Info (for accessibility & safety). All information shared is confidential and helps us support you.
How did you hear about Pride & Power

HKP Social MediaHKP Email or NewsletterKi/Killed by KiFriend or FamilyCommunity EventOther

Emergency Contact Info
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relationship to You

Required Waiver & Indemnification Clause
By submitting this form, and signing below, I understand and agree to the following:

1. I acknowledge that participation in a physical activity class involves risk. I affirm that I am voluntarily participating in Pride & Power, hosted by Henderson KY Pride in partnership with Ki Jace Davis and Killed By Ki LLC, and accept full responsibility for my participation.

2. I agree to hold harmless Henderson KY Pride Inc., Killed By Ki LLC, and their staff, instructors, volunteers, and affiliates from any and all liability, claims, or actions that may result from my participation.

3. I understand that this is a judgment-free space and agree to engage respectfully with others. I also grant permission to receive emergency medical care if necessary.
Signature of Participant*

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Parent/Guardian Signature (if under 18)

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Should be Empty:

Pride & Power – Registration Form

Emergency Contact Info

Required Waiver & Indemnification Clause