X-PTC Release Waiver Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Acknowledgment of HealthI, the undersigned, hereby acknowledge and confirm that: I am physically able to participate in the fitness class specified above and have no known medical conditions or restrictions that would prevent me from doing so. If I have any health concerns, I will consult a physician before participating in any exercise programs. I have disclosed all relevant health conditions or injuries to The Gym prior to participation, and I will inform the instructor of any changes in my health condition Checkboxes *I AgreeAssumption of Risk and Exemption of Liability I understand that participating in fitness activities may involve physical exertion and the risk of injury. I voluntarily assume all risks associated with my participation in the fitness class, including but not limited to falls, physical injury, or any health-related incidents that may occur. I agree to release and hold harmless The Gym, its owners, employees, agents, and contractors from any liability for any injury, loss, or damage sustained by me during or after the fitness class, whether caused by negligence or otherwise. I understand that I am solely responsible for my own health and safety while participating in any fitness activities and will abide by all safety instructions and guidelines provided by The Gym and its staff. Checkboxes *I AgreeName *FirstLastEmail *PhoneDateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Submit