Waiver for Minor(s)

Emergency Contact Information

In the event of an emergency, please contact the following person:

Medical Information:

Please list below any: current/previous medical conditions, allergies, AND/OR medications that may flare up during or may inhibit participation.


Check to agree*:

I, the undersigned parent/legal guardian, affirm I am of the age of 18 years or older, and I am freely signing this agreement. I certify I have read this agreement and 3 supporting documents (BELOW), that I fully understand its content and that this release cannot be modified orally. I am aware this is a release of liability and a contract and that I am signing it of my own free will.

I hereby certify I am the parent or legal guardian of the participant(s) named above, and do hereby give my consent without reservation to the foregoing on behalf of this/these individual(s).



1. Release of Liability
2. Media Release
3. Gym Rules