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Waiver for In-Person Classes

Please Fill this form in completely prior to your first class

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

Waiver and Release of Liability:

I understand that I will be participating in a fitness program.  I am not required to do any of the activities instructed and that I will use my own judgement to my ability.  I can rest at any time during the class.  It is important that I listen to my body and respect the limits that I have on any given day.  I will not perform any of the exercises to the point of pain or strain.  If I feel any discomfort or strain I will gently come out of the exercise and not proceed further with the class and seek medical attention.  I understand that Essentrics is not a substitute for medical attention, examination, diagnosis, or treatment.  I know the importance of communicating with my doctor prior to the start of any fitness program.  I will inform my instructor of any new injuries, conditions or health concerns before class begins.  I accept that neither the instructor nor the facility is responsible for any injury, or damages, to person or property resulting from taking this class.  I assume all risks and hereby assume all risks associated from this point forward and give my consent to participate in the program.

Thanks for submitting!

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