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

Emergency 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!

Would you like to join one of our Konnect Method workshops or trainings?

Please submit the form, and we will notify you with the upcoming schedule

Stay Konnected!

Please fill out the form below to receive notifications about our future Konnections events

First Name

Last Name

Email

Which trainings or workshops you would be interested? * Required

Konnector Reformer Training

Konnections for Mat

Konnections for Reformer

Konnections for Chair

Konnections for CoreAlign

Konnections for Barrels

Other

Explain Other

I want to subscribe to the workshop notification emails

You’re almost there! Check your inbox for a verification email and confirm your subscription.

⚠️ Important: If you don’t verify, you won’t receive any updates or notifications from me. Don’t miss out—confirm now and stay Konnected! Thank You for Joining Konnections! 🎉

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