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Move Fitness Zumba Registration Form
AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
Anyone under the age of 18 must have a legal guardian sign this form
Fields marked with an asterisk (
) are required.
I, the undersigned, hereby agree to the folowing:
1. That I am participating in the Zumba Fitness class offered by Move Fitness with certified instructor Melissa Arneson or any other visiting Zumba instructor or volunteers, during which I will receive Zumba fitness instruction.
2. I (or legal guardian to minor child) understand that it is my responsibility to consult with a physician prior to and regarding my (or my child) participating in Zumba Fitness classes. I represent and warrant that I (or minor child) am physically fit and I have no medical condition that would prevent my full participation in this class.
3. I (or legal guardian to minor child) agree to assume full responsibility for any risks, injuries or damages, or anything not herein stated, known or unknown, which I (or minor child) might incur as a result of participating in the program.
4. I knowingly, voluntarily, and expressly waive any claim (or legal guardian to minor child) may have against Move Fitness or Melissa L. Arneson, any visiting Zumba instructors, or volunteers; as well as the location of the instruction including but not limited to Eagle Performing Arts Center and its employees, volunteers, directors, guests, or any others for any reason including but not limited to injury or damages that I (or minor child) may sustain as a result of participating in, spectating, or visiting the program.
I, the participant (or legal guardian of under age participant), understand and acknowledge that by checking this box I agree that my electronic signature is the legal equivalent of my handwritten signature.
PARTICIPANT SIGNATURE (or Legal Guardian if under age 18)
COPYRIGHT © 2016.
ALL RIGHTS RESERVED.