Gym Health Waiver

To register to our gym please fill out the following medical form

First Name

Email Address

Last Name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Have you lost your consciousness in the last past 12 months?

No

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Health Waiver

Please fill out the following medical form

First Name

Email Address

Last Name

Date of Birth

Emergenct Contact

I declare that the info I’ve provided is accurate & complete. I have read the entire release of liability form.

Your Signature

Today's Date

Thanks for submitting!

Lets Konnect

Thanks for submitting! Please check you inbox and confirm your submission.

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