LIVVY CHOO FITNESS
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Welcome To Training India's Daughter
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Parent's Name
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First
Last
Email
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Child's Name & Age?
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What Are your Athletic Goals?
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Speed
Agility
Strength
Balance
Mental Confidence
Stamina
Power
Flexibility
Please list all past injuries and medication currently taking.
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LIABILITY WAIVER I UNDERSTAND THAT LIVVY CHOO FITNESS INCLUDES EXPLOSIVE PHYSICAL MOVEMENTS AS WELL AS AN OPPORTUNITY FOR RELAXATION, STRESS RE¬EDUCATION AND RELIEF OF MUSCULAR TENSION. AS IS THE CASE WITH ANY PHYSICAL ACTIVITY, THE RISK OF INJURY, EVEN SERIOUS OR DISABLING, IS ALWAYS PRESENT AND CANNOT BE ENTIRELY ELIMINATED. IF I EXPERIENCE ANY PAIN OR DISCOMFORT, I WILL LISTEN TO MY BODY, DISCONTINUE THE ACTIVITY, AND ASK FOR SUPPORT FROM THE INSTRUCTOR. I WILL CONTINUE TO BREATHE SMOOTHLY AND MODIFY THE EXERCISES. I ASSUME FULL RESPONSIBILITY FOR ANY AND ALL DAMAGES, WHICH MAY INCUR THROUGH PARTICIPATION. THE FITNESS WORKOUT IS NOT A SUBSTITUTE FOR MEDICAL ATTENTION, EXAMINATION, DIAGNOSIS OR TREATMENT. LIVVY CHOO FITNESS WORKOUT IS NOT RECOMMENDED AND IS NOT SAFE UNDER CERTAIN MEDICAL CONDITIONS. BY AGREEING, I AFFIRM THAT I AM IN GOOD HEALTH AND PHYSICAL CONDITION TO PARTICIPATE IN SUCH A FITNESS PROGRAM. IN ADDITION, I WILL MAKE THE INSTRUCTOR AWARE OF ANY MEDICAL CONDITIONS OR PHYSICAL LIMITATIONS BEFORE CLASS. IF I AM PREGNANT, BECOME PREGNANT OR I AM POST¬NATAL OR POST¬SURGICAL, MY AGREEMENT VERIFIES THAT I HAVE MY PHYSICIAN'S APPROVAL TO PARTICIPATE. I ALSO AFFIRM THAT I ALONE AM RESPONSIBLE TO DECIDE WHETHER TO PRACTICE LIVVY CHOO FITNESS WORKOUT AND PARTICIPATION IS AT MY OWN RISK. I HEREBY AGREE TO IRREVOCABLY RELEASE AND WAIVE ANY CLAIMS THAT I HAVE NOW OR MAY HAVE HEREAFTER AGAINST LIVVY CHOO FITNESS AND IT'S INSTRUCTORS.
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I have read and fully understand and agree to the above terms of this Liability Waiver Agreement.
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Athletic Training 10 Sessions Per Month for $150.00
Training Days: Tuesday and Thursday 5:15pm
Home
Michaelangelo
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Blogging Choo