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Release of Liability and Physical Fitness Readiness Form
[Onboarding Form 1 of 3]

I am fully aware of the risks associated with strenuous physical activity; I am in good medical condition/health; I have no medical condition that would prevent me from safely participating in this activity; and I have medical clearance to participate. I knowingly and willingly assume all such risks and acknowledge that my participation in this activity is fully voluntary.

In consideration of my participation in this activity, I, on behalf of myself, my heirs, assigns, executors, administrators and representatives, hereby release and hold harmless Strength by Staff™, this venue, and any respective employees, instructors, agents, successors and assigns (collectively, “Releasees”), from any and all liability, loss, damage, costs, claims and/or causes of action of every kind and nature, including but not limited to those for bodily injuries, death, and property damage arising out of or relating to my participation in this activity, even if caused by the negligence of the Releasees.

I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of North Carolina and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the laws of North Carolina shall govern this agreement.

I affirm that I am of legal age and am freely signing this agreement. If I am not of legal age, the signing of this agreement shall be witnessed and signed by my parent or guardian. I have read this form and fully understand that by signing this form I am agreeing to abide by all venue guidelines and guidelines of the venue premises regarding the use of its recreational facilities. I further understand that by signing this form I am agreeing to abide by all venue guidelines and guidelines of the venue premises regarding the use of its recreational facilities. I further understand that by signing this form, I am giving up legal rights and/or remedies, which may be available to me against the Releasees.

First Adult Name
First Name*
Last Name*
Phone*
First Adult Date of Birth*
Date of Birth
First Adult Signature*
Second Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Third Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Fourth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Fifth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Sixth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Seventh Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Eighth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Ninth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Tenth Adult Name
First Name*
Last Name*
Phone*
Adult Date of Birth*
Date of Birth
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check here to receive future correspondence
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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