Fitness Class Registration PDF

Fitness Class Registration

Register for our fitness class by providing your details, health information, and agreeing to the liability waiver.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Age*
Health History
Do you have any current medical conditions?*

NoYes
If yes, please briefly describe your medical conditions
Have you had any recent injuries that might affect your participation?*

NoYes
If yes, please briefly describe your injuries
Liability Waiver and Consent
By registering for this fitness class, you acknowledge that participation involves physical activity which carries inherent risks. You agree to release and hold harmless the organizers, instructors, and facility from any liability for injuries or damages that may occur during the class.

Please read carefully and sign below to indicate your acceptance of these terms.
Signature*

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Fitness Class Registration