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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*
First Adult Signature*
Second Adult Name

First Name*

Last Name*

Phone*
Second Adult Date of Birth*
Third Adult Name

First Name*

Last Name*

Phone*
Third Adult Date of Birth*
Fourth Adult Name

First Name*

Last Name*

Phone*
Fourth Adult Date of Birth*
Fifth Adult Name

First Name*

Last Name*

Phone*
Fifth Adult Date of Birth*
Sixth Adult Name

First Name*

Last Name*

Phone*
Sixth Adult Date of Birth*
Seventh Adult Name

First Name*

Last Name*

Phone*
Seventh Adult Date of Birth*
Eighth Adult Name

First Name*

Last Name*

Phone*
Eighth Adult Date of Birth*
Ninth Adult Name

First Name*

Last Name*

Phone*
Ninth Adult Date of Birth*
Tenth Adult Name

First Name*

Last Name*

Phone*
Tenth Adult 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*
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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