Health & Liability Waiver

 
 
Name *
Name
Address *
Address
Birthdate *
Birthdate
Texting available for alerts? *
Please list name and phone number
HEALTH HISTORY
Please check any of the following conditions that apply to you. *
If you feel that any of these would limit your participation in class, please describe further below.
LIABILITY WAIVER
Please read each statement carefully and check the boxes to indicate your agreement and understanding: *