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Cancellation Policies, Waiver, and Informed Consent


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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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GROUP CLASS CANCELLATION POLICY
GROUP CLASS CANCELLATION POLICY. I understand that I must communicate attendance to the enrolled class, as no-shows or cancellations of less than 10-hours cannot be made up. At Unify we want everyone the opportunity to be able to adjust class schedules and make up missed classes. This cancellation window allows you and other's the opportunity to do so.*
Yes
GROUP MONTHLY MEMBERSHIP CANCELLATION POLICY
I understand that all MONTHLY group class memberships require a 30-day written notice to cancel, otherwise, membership will be pro-rated accordingly. *
Yes
PRIVATE SESSION CANCELLATION POLICY
I understand that all private 1:1 sessions require a 24-hour notice to cancel. I understand if I cancel in less than 24 hours, I will be charged for the established session fee.*
Yes
Liability + Informed Consent Agreement
I hereby request the opportunity to participate in the exercise, manual therapy, and recovery activities at UNIFY HEALTH, LLC (4221 E CHANDLER BLVD SUITE 118-119 PHOENIX, AZ 85048). I hereby acknowledge that my participation in evaluation, training, manual therapy and recovery services (sauna/cold plunge/red light therapy/compression boots/etc.) is entirely voluntary on my part. Such participation is solely for my own pleasure and benefit. PARTICIPATION. Information you possess regarding your health status and previous experience of unusual instances with physical effort may affect the safety and value of your training session. Your prompt reporting of feelings with effort during the sessions thereafter is of great importance. You are fully responsible for disclosing such information to one of our professional staff members. All initial evaluations, screenings, and recommendations should not replace seeing a medical doctor. Any questions about procedures used during the sessions are encouraged. If you have any questions or doubts, please ask for further explanation. Your permission to perform evaluation, fitness, and recovery activities are voluntary. I intend to and will engage in physical activities at UNIFY HEALTH, LLC. I assume and accept full responsibility for any and all injuries and damages that may occur to myself in or about the facility, and forever fully release, remise, indemnify, and agree to defend and hold harmless UNIFY HEALTH, LLC., Shauna Brown, and all Unify staff members. *
Yes
GROUP PUNCH CARD PURCHASES
I understand that I have 6-months from the purchase date to utilize the 10-class punch card. All unused classes will expire.*
Yes
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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