Note: we will not know your email address and will not be able to set you
up for a Trial Week if you don't complete your email address above
How did you hear of us? Who referred you?
Indicate your preferred location, class time & week
- Do you have any health concerns or physical ailments, problems or limitations? Do you have or have you had any knee, back or shoulder problems?
- Please rate the following. (1=poor, 3=average, 5=excellent )
- If you are participating in our PowerFit Yoga Camp, what is your level of Yoga experience?
To complete this registration you must 'sign' at the bottom of this form
Assumption of Risk
I understand that sports and conditioning programs are a test of physical and mental strength which poses risks of bodily injury, property damage, or death. I attest that I am in good physical and mental health and can not hold liable David Clair or Fitness For Living for any damages that may occur during our training and coaching together. Any questions that may have occurred to me have been answered to my satisfaction. I understand that I am free to withdraw from this program upon written notification to my trainer.
I understand that Fitness For Living reserves the right to take photographic or film records of any of their classes, and hereby agree that Fitness For Living may use such photographic or film records for promotional and/or commercial purposes.
I also understand the Fitness For Living trainers have the right to disqualify me from any activity, if in his or her judgment, I am incapable of that activity or if my continued participation will endanger me and/or the safety of others. I understand it is my obligation to inform the Fitness For Living trainers in advance of partaking in any activity of any medical or physical disability or limitation that may limit me or render me unable to perform or safely complete that activity. I further acknowledge that I am best able to evaluate my own physical and medical conditions and limitations. My continued participation after disclosure of any limitations shall be at my own risk.
By signing this contract, I understand that I am participating at my own risk and release Fitness For Living of all liability.