Public Gym Event Participation Consent Form
Please complete this form to provide your consent and necessary information for participating in the public gym event.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name and Phone Number
*
Please confirm your current health status. Select all that apply:
*
I am physically fit to participate in gym activities
I do not have any medical conditions that would prevent my participation
I have consulted with my physician regarding my participation
Other (please specify)
Signature (Please sign below to confirm your consent)
*
Submit Consent
Submit Consent
Should be Empty: