Exercise Risk Disclosure and Liability Waiver Form
Please read and complete this Exercise Risk Disclosure and Liability Waiver Form to acknowledge your understanding and acceptance of the risks associated with physical exercise.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please confirm you have read and understand the risks associated with physical exercise, including the possibility of injury.
*
I have read and understand the risks.
I voluntarily assume all risks and agree to release the organization from liability for any injury or damages resulting from participation.
*
I agree
Consent to Participate
*
I consent to participate in exercise activities.
Please provide any relevant emergency contact information (optional)
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
By signing below, you acknowledge and agree to the terms of this Exercise Risk Disclosure and Liability Waiver Form.
*
Submit Waiver
Submit Waiver
Should be Empty: