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Youth Orientation Form

(Parents please sign & review this form with your child)

Lifting Tips: 1.

Listen to your body. If something starts to hurt do not continue to do that exercise.

2. Start Slowly. Don’t try to start heavy, especially if you haven’t lifted before. Start light, and work your way up from there. 

3. Be mindful of your form. If your form is correct, you should feel the exercise working out the correct muscle group(s). If you feel like your form may be off, don’t hesitate to ask a trainer for help.

4. Don’t Cheat. If you have to sacrifice your form to lift heavy, go down in weight.

Gym Etiquette:

1. Don’t Drop Weights. We are on the second floor with offices below, do not drop the weights. You should be able to pick up and set down the weight in a controlled manner. If you can not, go down in weight.

2. NO Photos in Locker Rooms. It is forbidden to take pictures or videos in the locker room. Doing so will result in an immediate termination of your membership. There are plenty of mirrors throughout the gym for you to take pictures. 

3. Clean off Machines. Make sure to wipe down equipment after use. This helps keep the gym clean and tidy for everyone.

4. Respect the Equipment/Rerack Weights. Ensure that you are using the equipment properly, and putting things back after you’re done. 

5. Clean up after yourself. Throw your trash away, wipe up any spills, and if it’s something that will require further cleaning, notify MSR staff so they can take care of it. 

6. Don’t hog machines. Take your rest break and continue with your workout. Sitting at machines while on your phone is not okay. We need to make sure we are sharing and allowing everyone to get their work out in and move on with their day.

7. Keep your clothes on. Clothes/Shirts must be worn at all times. Your membership is subject to compliance with policies, rules, and regulations issued by Level II Fitness from time to time. No excessive dropping of weight plates or dumbbells will be tolerated. Level II Fitness reserves the right to revoke any membership for failure to abide by policies, rules, and regulations. If a membership is revoked any remaining time on membership will be terminated. If the member has paid for yearly membership in advance, a pro-rated amount for the remaining months left on membership will be refunded to the member(s). 

Child's First and Last Name
Todays Date *
Child's Date of Birth *
First Guardian's Name
First Name*
Last Name*
Phone*
First Guardian's Age Acknowledgment*
First Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Guardians Signature*
Second Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Third Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Fourth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Fifth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Sixth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Seventh Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Eighth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Ninth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Tenth Guardian's Name
First Name*
Last Name*
Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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 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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