DISCLAIMER

AERIAL SPORT & FITNESS DISCLAIMER

First name

Last name

Date of Birth

Contact number

Emergency Contact Number

Emergency Contact

Please specify anything we should know about

Do you have doctor’s permission to participate in intense physical activities?

Yes

Are you happy for pictures to be used on social media?

Yes

I declare that the info I’ve provided is accurate & complete

Do you agree to the Terms and Conditions?

Do you agree to and sign theDisclaimer?

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

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