High-Intensity Exercise Waiver Form
Review the risks and confirm your consent before participating.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please read and acknowledge the following waiver statement:
I understand that participation in high intensity exercise involves inherent risks, including but not limited to physical injury, and I voluntarily assume all such risks. I certify that I am physically fit to participate and will consult a physician if necessary. I agree to release and hold harmless the organizers, trainers, and facility from any and all claims or liabilities arising from my participation.
I have read, understood, and agree to the waiver statement above.
*
Yes, I agree
Signature
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver
Submit Waiver
Should be Empty: