Building Fitness Facility Waiver
Please complete this waiver to acknowledge your understanding of the facility rules and risks before using the gym.
I work in the Building and am employed by
*
Please review the PDF document carefully before signing.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Access Card/Key Fob #
*
Print Name
*
First Name
Last Name
Email
*
example@example.com
Telephone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please choose the class date(s) you would like to attend:
Choose one or both dates!
*
Thursday September 10th @ 12pm
Thursday September 24th @ 12pm
Classes are limited to 10 participants. If you are unable to attend, please provide at least 48 hours notice cancellation by emailing jaredc@monalihealth.com. Due to limited class capacity, no-shows without prior notice will not be eligible to attend future classes.
*
I Agree
Click Here to Read Terms & Conditions
I have read and agree to the above Terms and Conditions in order to participate in this and future events.
*
I Agree
Submit Waiver
Submit Waiver
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