Loading...

Guest Enrollment Information & Waiver


Welcome!

All Participants Must Agree to the Vermont Play Smart Play Safe Requirements & Current State of Vermont Guidelines in regards to Covid-19.

Members and guests must clean equipment before and after use.

Members and guests must follow instructions given by EDGE Employees.

Facility Use By Children

All children under the age of 14 must be within an arm’s reach of a parent/guardian or supervising adult (18+) while in EDGE facilities.

Children under the age of 14 are not permitted in the fitness center or group exercise studios unless they are with a specific EDGE program for children.

Release of Liability

In consideration of being allowed to participate in any way in the Sports & Fitness Edge, Inc. program, membership, related events and activities, the undersigned acknowledges, appreciates and agrees that:

The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases’ or others and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest employee or volunteer immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next kin, hereby release and hold harmless Sports and Fitness Edge Inc. d.b.a. The EDGE, their offices, employees, and other participants, sponsoring agencies, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releases”), with respect to all and any injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the release’s or otherwise, to the fullest extent permitted by law. This waiver also includes any negligence associated with the presence of or transmission of any bacteria, viruses, or infectious diseases.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 September 28, 2022




First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
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*
Emergency Contact

Emergency Contact's 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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Has your doctor ever said you have heart trouble?*
No
Yes
Do you frequently have pains in your heart or chest?*
No
Yes
Do you often feel faint or have spells of severe dizziness? *
No
Yes
Has your doctor ever said your blood pressure was too?*
No
Yes
Do you have a bone or joint problem that could be made worse through exercise?*
No
Yes
Is there a good physical reason not mentioned here that you should not follow an exercise plan even if you wanted too?*
No
Yes

Guest of (EDGE Member's Name)
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 - TRY IT FREE!