Gym Health Waiver

Fill out the following medical form, for all in- person training

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

I want to subscribe to the newsletter.

Thanks for submitting!