Waiver - City Fit Shop

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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
Mobile Phone*
Birth Date:*
Date Format: YYYY dash MM dash DD
Gender*
- Male
- Female
Email*
Address*
Street Address Address Line 2 City Province Postal Code

MINOR 1 PARTICIPANT INFORMATION
Minor 1's Name*
First Last
Minor 1's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 1's Address*
Same Address

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

MINOR 2 PARTICIPANT INFORMATION
Minor 2's Name*
First Last
Minor 2's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 2's Address*
Same Address

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

MINOR 3 PARTICIPANT INFORMATION
Minor 3's Name*
First Last
Minor 3's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 3's Address*
Same Address

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

MINOR 4 PARTICIPANT INFORMATION
Minor 4's Name*
First Last
Minor 4's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 4's Address*
Same Address

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

MINOR 5 PARTICIPANT INFORMATION
Minor 5's Name*
First Last
Minor 5's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 5's Address*
Same Address

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

MINOR 6 PARTICIPANT INFORMATION
Minor 6's Name*
First Last
Minor 6's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 6's Address*
Same Address

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

MINOR 7 PARTICIPANT INFORMATION
Minor 7's Name*
First Last
Minor 7's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 7's Address*
Same Address

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

MINOR 8 PARTICIPANT INFORMATION
Minor 8's Name*
First Last
Minor 8's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 8's Address*
Same Address

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

MINOR 9 PARTICIPANT INFORMATION
Minor 9's Name*
First Last
Minor 9's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 9's Gender*
- Male
- Female
Minor 9's Address*
Same Address

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

MINOR 10 PARTICIPANT INFORMATION
Minor 10's Name*
First Last
Minor 10's Birth Date*
Date Format: YYYY dash MM dash DD
Minor 10's Gender*
- Male
- Female
Minor 10's Address*
Same Address

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

ELECTRONIC SIGNATURE CONSENT
Consent*
- 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.
- Check to join our mailing list for news on events, programs, and discounts. We promise we don't spam you.
How did you hear about us?*
Signature*
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TO:

DEFINITION:

ASSUMPTION OF RISKS

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

SPECIAL LIMITATION OF LIABILITY DURING THE CORNAVIRUS/COVID-19 PANDEMIC

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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