Client Liability Form

Please complete and submit form. All clients are required to complete form before attending any exercise class.

Emergency Contact Information
Activity & Exercise Level
Habbits and Restrictions
Medication

I acknowledge that I am voluntarily participating in a program of progressive physical exercise that involves risks of injury and even the possibility of death. I acknowledge that I have been informed of the potential risks involved in this possibly strenuous exercise activity. I have had the opportunity to discuss these risks and my specific needs in relation to my participation in this exercise program and have had all of my questions answered to my satisfaction.

I subjectively understand the risks of my participation in this exercise activity, and knowing and appreciating these risks, I voluntarily choose to participate, assuming all risks of injury and even death and agree to accept responsibility for any injuries including death that arise out of my participation.

I do hereby waive, release and forever discharge The Cross Services, it's officers, members, employees, agents, representatives, executors and all others from any and all responsibilities or liability for injuries or damages resulting from my participation in any activities or my use of equipment or machinery at The Cross Services or arising out of my participation in any activity while on the premises.

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