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Portland - SoPo - Woolwich, ME

Woolwich gym now open

Waiver

Gym & Fitness Liability Waiver

First name

Last name

Email

Are you cleared to participate in physical activity?

No

Yes

Do you have any pre-existing medical condtions, restrictions or injuries that we should know about?

Are you 18 years or older?

No

Yes

Initials (Parent/Guardian if not 18 years old)

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

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