LifeLab Event Signup

LifeLab Participant Registration Form

Participant Registration Form
Your Name:*

First NameLast Name
Name of Participant (If other than yourself):

First NameLast Name
Has participant experienced COVID-19 related symptoms in the last 14 days?
symptoms would include, but not limited to, cough, fever, shortness of breath, loss of taste.
Which date is the event taking place? (If you are not sure, just use today’s date.)*

MonthDayYear
Date
Class/Event/Seminar you are signing up for*
Name of event you are attending (Firearms,GNI, Meditation, Dare To Date, etc)
E-mail*
Is it okay to text your confirmation?
Phone Number
Payment Method

If there is a cost for your selected class, payment instructions will be emailed or sent via text.
By signing this form, I am stating that I agree and understand that participation at any LifeLab event is voluntary. I understand that an inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death … By visiting and participating in activities at The LifeLab, Pink Orchid or Magikal Keys, you voluntarily assume all risks related to exposure to COVID-19.

I also agree to abide by any safety regulations provided by the hosts of the event including wearing a mask and sanitizing.
Signature

Clear
Today's Date

MonthDayYear
Date
Should be Empty:

LifeLab Participant Registration Form