Loading...

Liability Waiver for Ages 6-19 at SoulPower Fitness.

I am voluntarily registering my child(s) into the kids fitness programs conducted by SoulPower Fitness.

CONSENT: To the best of my knowledge, my child(s) can fully participate in exercise. I represent and warrant that my child(s) has no medical condition that would prevent participation in the program.   
RULES AND REGULATIONS: My child and I further agree to become familiar with the rules and regulations at SoulPower Fitness concerning participant conduct and not to violate said rules of any directive or instruction made by the person or persons in charge of the exercise class.  In the event my child does not adhere to the instructor’s rules compromising child(s) safety in the SoulPower Fitness facility, my child may be terminated from the remaining classes.  

I have read the above waiver and release of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

I Agree

First Participant's Name Name

First Name*

Last Name*
First Participant's Name Date of Birth*
I certify that I am 19 years of age or older
First Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
First Participant's Name Signature*
Second Participant's Name Name

First Name*

Last Name*
Second Participant's Name Date of Birth*
Second Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Third Participant's Name Name

First Name*

Last Name*
Third Participant's Name Date of Birth*
Third Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Fourth Participant's Name Name

First Name*

Last Name*
Fourth Participant's Name Date of Birth*
Fourth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Fifth Participant's Name Name

First Name*

Last Name*
Fifth Participant's Name Date of Birth*
Fifth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Sixth Participant's Name Name

First Name*

Last Name*
Sixth Participant's Name Date of Birth*
Sixth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Seventh Participant's Name Name

First Name*

Last Name*
Seventh Participant's Name Date of Birth*
Seventh Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Eighth Participant's Name Name

First Name*

Last Name*
Eighth Participant's Name Date of Birth*
Eighth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Ninth Participant's Name Name

First Name*

Last Name*
Ninth Participant's Name Date of Birth*
Ninth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Tenth Participant's Name Name

First Name*

Last Name*
Tenth Participant's Name Date of Birth*
Tenth Participant's Name Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Please list any Injuries OR Illnesses we should know of.

Please list any injuries or illnesses we should know of.
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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
I certify that I am 19 years of age or older
Parent or Guardian's Information
What is your child participating in:*

If Sports Tream Training, list the TEAM Name:

If attending a Kids Birthday Party, please type the FIRST & LAST name of the CHILD'S birthday you are attending.
I agree to give permission for photographs of my child to be used in social media posts for future promotional purposes.*
No
Yes
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver