top of page
HOME
ABOUT
MEET OUR TEAM
DR. JAMIE
DR. WILL
SERVICES
CHIROPRACTIC
ATHLETES
PRENATAL
PEDIATRICS
STRETCHING
MASSAGE
INFRARED SAUNA
GYM & FITNESS
PRODUCTS
THORNE SUPPLEMENTS
ROWE CASA ORGANICS
CONTACT
More
Use tab to navigate through the menu items.
Member Log In
Please fill out and complete the waiver prior to your first class or session.
Gym & Fitness Liability Waiver
First Name
Last Name
Email
Date of Birth
Do you have any health conditions we should know about?
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
Submit
Thanks for submitting!
bottom of page
