New Client Questionairre | Crank It Up Fitness

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Email @ stayfitwithjudi@gmail.com

Text us: +1 (949) 422-4242

Fitness Liability Waiver

First Name

Last Name

Email

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Select an Address

I agree to the terms & conditions

Email

Phone

Phone

Email

Select an Address

Thanks for submitting!

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