FITCLUB REGISTRATION FORM

Name

Phone Number

7051234567

Email

example@example.com

Date Attending

First Time Attending?

Were you invited by someone?

Who or How Did you Hear About FitClub?

Fee

E-transfer to deanna.palazzo@gmail.com, pay at The Pulse Nutrition or pay below by credit card. Exact change can be given in person.

Pay Now

FitClub Returning. This includes a complimentary pre workout beverage and post workout smoothie. We encourage you to bring a yoga mat or towel and water bottle. Hand weights are optional. Wear clothes you can move in and running shoes.

FitClub Returning$10.00 CAD

This includes a complimentary pre workout beverage and post workout smoothie. We encourage you to bring a yoga mat or towel and water bottle. Hand weights are optional. Wear clothes you can move in and running shoes.

Quantity

FitClub First TimeFree

First time free

PAY AT SHOPFree

You will pay cash at the door.

Enter coupon

Subtotal Tax Total $0.00 CAD

Credit Card

As a first time participant, you will enjoy a complimentary workout with preworkout beverage and post workout smoothie.

Agreement of Release and Waiver of Liability

I agree and consent to the following:

By signing and dating below, I recognize that there may be physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above mentioned program. I represent and warrant that I have no medical condition that would prevent my participation in the program.

I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the program. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.

I knowingly, voluntarily and expressly waive any claim I may have against the instructor or First Presbyterian Church for injury or damages that I may sustain as a result of participating in the program.

I, my heirs or representatives forever release waive, discharge and covenant not to sue the instructor or First Presbyterian Church for any injury or death caused by their negligence or other acts.

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

I am voluntarily participating in the instruction of FitClub conducted by James Dalzell, Deanna Palazzo and team at First Presbyterian Church and within the town of Penetanguishene.

Do you agree with above

MINORS
We are an inclusive space. If you are bring a child under the age of 18 we ask you sign in for them as well. We as you sign the waiver on their behalf as well. We are guests of the space so we ask you speak to your children about being respectful to the space.

Will you be bringing any children with you?

Thank you for joining us tonight! We would love to hear your feedback! Don't hesitate to reach out to us at thepulsenutrition.penetang@gmail.com You can also find us on Facebook at The Pulse Nutrition or on Instagram @the_pulse_nutrition !

Ask about our Pulse Nutrition VIP Group to stay in the loop as well!

Do you want to stay looped in for future workouts and other Pulse Nutrition events?