Fitness Fusion Registration Part 2 - Release of Liability/Authorization of Risk Form Please submit completed form by fax to 901.248.6848 by (e) Admin@BeccaMarinoFitnessInspiration.com or print and bring with you to the first session.
The undersigned participant, in consideration of participation in this program, activity and/or class indicated on this form, agrees to indemnify and hold harmless Fitness INSPIRATION! Inc. I am aware that when training I expose myself to physical risk, I take full responsibility for any injuries that I may suffer and/or loss of property. I acknowledge that I am in good health and am capable of participating in an exercise program, and I release Fitness INSPIRATION! Inc. and its certified personal trainers’ from any responsibility for any injury or damage to me.
Signature _________________________________ Date __________
Last Name ___________________First Name ____________________
I have read and agree to the terms and conditions set forth in this agreement. ______ Initial
Witness ____________________________________ Date _________