• Women's Collective Group Signup

    Register to participate in a fitness group organized by the Women's Collective.
  • Format: (000) 000-0000.
  • Which day would you like to sign up for?*
  • Do you have a current or previous health condition, injury, recent surgery, or other concern that could affect your ability to participate safely in walking, jogging, strength, flexibility, balance, or other group fitness activities?
  • Have you recently experienced chest pain or pressure, unusual shortness of breath, fainting, unexplained dizziness, unusual weakness or fatigue, or a rapid or irregular heartbeat during rest or physical activity?
  • Have you been advised by a healthcare professional to limit or avoid exercise or physical activity?

  • For any "Yes" response, please consult an appropriate licensed healthcare professional before participating and obtain any recommended evaluation or clearance.

    This registration form does not provide medical evaluation or medical clearance. Participation should be postponed until you are confident that the activity is appropriate for you and any concerning symptoms or health conditions have been evaluated.

  • Will you be bringing your dog(s)?

  • PARTICIPANT DISCLAIMER AND SAFETY ACKNOWLEDGMENT

    I understand that participation in this event is voluntary and may involve walking, jogging, stretching, strength or balance activities, and other forms of physical activity. Physical activity carries inherent risks, including falls, musculoskeletal injury, illness, cardiovascular events, and aggravation of a current or previous health condition.

    I understand that the Start Here Women’s Collective, Care Starts Here LLC, the event organizers, volunteers, and activity leaders are not providing an individualized medical examination, diagnosis, treatment recommendation, or medical clearance through this registration form or event.

    I acknowledge that I am responsible for determining whether I am physically able to participate. If I have a current or previous medical condition, injury, recent surgery, activity restriction, concerning symptom, or uncertainty about my ability to exercise safely, I agree to consult an appropriate licensed healthcare professional before participating and to follow that professional’s recommendations.

    I agree to participate at a level appropriate for my abilities. I will not exceed my own limitations merely to keep pace with the group. I will stop exercising immediately if I experience pain, chest discomfort, unusual shortness of breath, dizziness, faintness, sudden weakness, palpitations, confusion, loss of balance, or any other concerning symptom.

    I understand that symptoms of a possible heart attack may include pressure, squeezing, fullness, pain, or discomfort in the chest; discomfort in one or both arms, the back, neck, jaw, or stomach; shortness of breath; nausea; cold sweating; unusual lightheadedness; or sudden unusual weakness or fatigue. If I believe that I or another participant may be experiencing a heart attack or another medical emergency, I will stop the activity and call 911 immediately. I understand that I should not attempt to drive myself to obtain emergency care.

    I understand that event personnel may contact emergency medical services when they reasonably believe that urgent medical assistance is needed. I authorize them to provide my emergency-contact information to emergency responders when necessary.

    By signing below, I confirm that I have read and understand this acknowledgment and have had the opportunity to ask questions before participating.

  • I have read, understand, and agree to the Participant Disclaimer and Safety Acknowledgment

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