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Fitness Boot Camp Registration / Waiver Form Date // First Name Middle Last Name Street Address City State Zip Code Date of Birth// Phone - E-mail Liability Waiver Please Read and Sign Below Exerciser hereby stipulates that he/she is physically sound and that he/she has approval to proceed with a routine of exercise. LIMITATIONS OF EXERCISE IF ANY It is further expressly agreed that all strength training cardiovascular exercise or any other exercise shall be undertaken by me at my sole risk and that Gabrielle Repassey and her agents or employees shall not be liable to me for claims demands injuries damages actions or causes of action whatsoever to my person or property arising out of or connected with the use by me of the services provided and of the premises where the same is located* I do hereby expressly forever release and discharge Gabrielle Repassey and her agents or employees from all such claims demands injuries damages actions or causes of action from all acts of active or passive negligence on the part of Gabrielle Repassey and her agents or employees. I further expressly agree that I will not use equipment improperly. If I have any questions whatsoever concerning exercise and use of equipment I agree that I will request instruction from Gabrielle Repassey and or her agents or employees. DO NOT SIGN THIS AGREEMENT UNLESS YOU UNDERSTAND THE TERMS COMPLETELY. IF YOU DO NOT UNDERSTAND YOU SHOULD SEEK LEGAL COUNSEL* X Representative Your Signature Parent or Guardian Signature If under 18 years old parent or guardian is required. LIMITATIONS OF EXERCISE IF ANY It is further expressly agreed that all strength training cardiovascular exercise or any other exercise shall be undertaken by me at my sole risk and that Gabrielle Repassey and her agents or employees shall not be liable to me for claims demands injuries damages actions or causes of action whatsoever to my person or property arising out of or connected with the use by me of the services provided and of the premises where the same is located* I do hereby expressly forever release and discharge Gabrielle Repassey and her agents or employees from all such claims demands injuries damages actions or causes of action from all acts of active or passive negligence on the part of Gabrielle Repassey and her agents or employees. I further expressly agree that I will not use equipment improperly. If I have any questions whatsoever concerning exercise and use of equipment I agree that I will request instruction from Gabrielle Repassey and or her agents or employees. I further expressly agree that I will not use equipment improperly. If I have any questions whatsoever concerning exercise and use of equipment I agree that I will request instruction from Gabrielle Repassey and or her agents or employees. DO NOT SIGN THIS AGREEMENT UNLESS YOU UNDERSTAND THE TERMS COMPLETELY. IF YOU DO NOT UNDERSTAND YOU SHOULD SEEK LEGAL COUNSEL* X Representative Your Signature Parent or Guardian Signature If under 18 years old parent or guardian is required. .

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