Online Waiver - City Fit Shop

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City Fit Shop Waiver

PARENT/GUARDIAN INFORMATION

ADULT PARTICIPANT INFORMATION

Parent(s) or court-appointed guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to the terms of this document, as set forth above.

Name

First Last

Birth Date:(Required)

Mobile Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

MINOR 1 PARTICIPANT INFORMATION

Minor 1's Name(Required)

First Last

Minor 1's Birth Date(Required)

Minor 1's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 2 PARTICIPANT INFORMATION

Minor 2's Name(Required)

First Last

Minor 2's Birth Date(Required)

Minor 2's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 3 PARTICIPANT INFORMATION

Minor 3's Name(Required)

First Last

Minor 3's Birth Date(Required)

Minor 3's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 4 PARTICIPANT INFORMATION

Minor 4's Name(Required)

First Last

Minor 4's Birth Date(Required)

Minor 4's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 5 PARTICIPANT INFORMATION

Minor 5's Name(Required)

First Last

Minor 5's Birth Date(Required)

Minor 5's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 6 PARTICIPANT INFORMATION

Minor 6's Name(Required)

First Last

Minor 6's Birth Date(Required)

Minor 6's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 7 PARTICIPANT INFORMATION

Minor 7's Name(Required)

First Last

Minor 7's Birth Date(Required)

Minor 7's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 8 PARTICIPANT INFORMATION

Minor 8's Name(Required)

First Last

Minor 8's Birth Date(Required)

Minor 8's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 9 PARTICIPANT INFORMATION

Minor 9's Name(Required)

First Last

Minor 9's Birth Date(Required)

Minor 9's Gender(Required)

Male

Female

Other

Minor 9's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MINOR 10 PARTICIPANT INFORMATION

Minor 10's Name(Required)

First Last

Minor 10's Birth Date(Required)

Minor 10's Gender(Required)

Male

Female

Other

Minor 10's Address(Required)

Same Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ELECTRONIC SIGNATURE CONSENT

Consent(Required)

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such a time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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How did you hear about us?(Required)

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Waiver

TO:

DEFINITION:

ASSUMPTION OF RISKS

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

GYM RULES

SERVICE TYPE:

PLEASE SELECT WHO WILL BE PARTICIPATING:

This agreement is just for YOU.

This agreement is for 1 MINOR.

This agreement is for YOU and 1 MINOR.

This agreement is for 2 MINORS.

This agreement is for YOU and 2 MINORS.

This agreement is for 3 MINORS.

This agreement is for YOU and 3 MINORS.

This agreement is for 4 MINORS.

This agreement is for YOU and 4 MINORS.

This agreement is for 5 MINORS.

This agreement is for YOU and 5 MINORS.

This agreement is for 6 MINORS.

This agreement is for YOU and 6 MINORS.

This agreement is for 7 MINORS.

This agreement is for YOU and 7 MINORS.

This agreement is for 8 MINORS.

This agreement is for YOU and 8 MINORS.

This agreement is for 9 MINORS.

This agreement is for YOU and 9 MINORS.

This agreement is for 10 MINORS.

This agreement is for YOU and 10 MINORS.

The Parent/Guardian must sign the waiver for the minor(s).

PARENT/GUARDIAN INFORMATION

ADULT PARTICIPANT INFORMATION

MINOR 1 PARTICIPANT INFORMATION

MINOR 2 PARTICIPANT INFORMATION

MINOR 3 PARTICIPANT INFORMATION

MINOR 4 PARTICIPANT INFORMATION

MINOR 5 PARTICIPANT INFORMATION

MINOR 6 PARTICIPANT INFORMATION

MINOR 7 PARTICIPANT INFORMATION

MINOR 8 PARTICIPANT INFORMATION

MINOR 9 PARTICIPANT INFORMATION

MINOR 10 PARTICIPANT INFORMATION

ELECTRONIC SIGNATURE CONSENT

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