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Registration: Transit Fitness Center
(Mar 13, 2018 08:11 am - Dec 31, 2020 11:59 pm)


 Please read the Liability Waiver Terms & Conditions prior to completing this form. 
 
Open to Transit/Transit Fleet Personnel Only!
 

USER INFORMATION

First Name:
Last Name:
Date of Birth:
Employee ID Number:
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
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.