Name *

First Name

Last Name

Phone *

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Emergency Contact *

(###)

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You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. You agree that you are voluntarily participating in these activities and use of these facilities and premises and assume all risks of injury, illness or death. Next Level Training, LLC is not ressponsible for any loss of personal property. *

By checking this box, I acknowledge that I have read and understand the above.

Agree

You agree to release and discharge the trainer or instructor from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against the trainer or instructor for personal injury or property damage.

By checking this box, I acknowledge that I have read and understand the above.

Agree

You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. *

By checking this box, I acknowledge that I have read and understand the above.

Agree