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Registration: Fitness Center & Programs Liability Waiver
(Sep 20, 2017 08:11 am - Dec 31, 2020 11:59 pm)


A Liability Waiver must be on file in order to gain access to the fitness center and/or utilize group fitness, personal training, etc. For questions regarding this form, please contact the YourChoice Fitness Center at 941.748.4501 x3979.
 
Please read the Liability Waiver Terms & Conditions prior to completing this form.
 
NOTE: If you already have access to the Fitness Center, then you already have a liability waiver on file and DO NOT need to complete this form.
 
 

USER INFORMATION

I am completing this waiver to access:
General Fitness (Group Fitness, Personal Training, etc.) and/orDowntown Fitness Center (1012B Manatee Ave.)
First Name:
Last Name:
Date of Birth:
Employee Status:
Employee  Spouse  Dependent  Retiree  Other  
Address:
Address 2:
City:
State:
Zip:
Phone:
Phone Type:
Cell  Home  Work  
Email:
Confirm Email:
Emergency Contact Name:
Emergency Contact Phone #:
Emergency Contact Relationship (friend, spouse, etc.):
I acknowledge that I have read this document and understand this agreement, and I realize it relates to surrendering and releasing valuable legal rights and do so freely and voluntarily.:
Yes
I understand that, when exercising at the Fitness Center, I am required to wear a Medical Alert Necklace after office hours when alone and no staff on duty.:
Yes
Participant Signature (typed name is considered an electronic signature):

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Our team will be glad to help you anytime with general
or technical questions, suggestions or comments.