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Waiver of Liability 

I, (participant or parent/guardian of minor participant), understand that my participation in any exercise training program, including any exercise training program with MASE Training, LLC (“MASE”), involves risk of physical injury.

1. I acknowledge that I am in good health and, to the best of my knowledge, am capable of participating in an exercise program. I further agree to disclose any physical limitations, disabilities, ailments or impediments that may arise that may affect my ability to participate in an exercise program.

2. I hereby release MASE, its agents, independent contractors, members, partners, successors and assigns from liability for injury or illness, physical or emotional that results from participating in exercise programs sponsored by MASE. I assume all risks associated with participating in the exercise program and take full responsibility for any injuries that I may suffer and/or loss of property while participating in an exercise program with MASE. It is my expressed intent that this waiver shall bind the members of my family, heirs and assigns.

3. I acknowledge that I have carefully read this waiver and release of liability. I understand that I am waiving a legal right to bring a legal action and to assert a claim against the trainer for negligence.

4. I voluntarily agree to participate in an exercise program with MASE in accordance with these conditions.

 

Trainer Signature: EDDIE MASON     (Digital)

Date: July 6, 2025

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
Home Phone
Cell Phone *
Work Phone
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Home Phone
Cell Phone *
Work Phone
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Home Phone
Cell Phone *
Work Phone
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Home Phone
Cell Phone *
Work Phone
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Home Phone
Cell Phone *
Work Phone
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Home Phone
Cell Phone *
Work Phone
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Home Phone
Cell Phone *
Work Phone
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Home Phone
Cell Phone *
Work Phone
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Home Phone
Cell Phone *
Work Phone
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Home Phone
Cell Phone *
Work Phone
Participant's 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 to receive information, news, and discounts by e-mail.
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*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Home Phone
Cell Phone *
Work Phone
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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