PRINT OUT THE FOLLOWING FORM AND BRING IN ON YOUR FIRST VISIT
Please fill out this form completely. We cannot accept incomplete forms.
TELEPHONE: ( )__________________________
CURRENT GRADE IN SCHOOL: ______
GENDER: ___M ___ F
NAME OF SCHOOL: _____________________________________
HEAD COACH’S NAME:__________________________________
In the event of an emergency, how should we contact a parent or legal guardian during the training session? (cell phone, pager, other)
RELATIONSHIP TO CHILD: _________________________
Please fill out these forms completely and return them with your payment. No one will be permitted to participate without signed waiver.
FEES ARE NON-REFUNDABLE HOWEVER, IN THE EVENT OF SERIOUS AND LIFE THREATENING ILLNESS RESULTING IN YOUR INABILITY TO COMPLETE THIS CONTRACT, A PRO-RATED REFUND MAY BE GIVEN.
Does your child have any Health conditions that may limit him or her while participating in the training session?
(asthma, diabetes, cardio-pulmonary disorders, shortness of breath, etc…)
WAIVER OF LIABILITY
I, as parent or legal guardian, _____________________________ (Parent or Legal Guardian Name), hereby release Personal Trainers World and any or all employees forgoing for any responsibility or liability if ____________________________ (Athletes Name), should suffer injury and/or death while participating in the training session.
This waiver of liability does not include any reckless or intentional acts on the part of Personal Trainers World, and any and all of its employees.
Parent/Legal Guardian Signature: