Fitness Program Participation Consent Form

Fitness Program Participation Consent Form
Please read and fill out this consent form before participating in the fitness program.
Participant Full Name
First NameLast Name
Date of Birth
MonthDayYear
Date
Emergency Contact Name
First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any medical conditions or injuries we should be aware of?
Signature of Participant
Clear
Date of Signature
MonthDayYear
Date
Should be Empty: