Upper West Side | Gym | Lionheart Boxing Club

Gym & Fitness Liability Waiver

First Name

Last Name

Address

Phone

Date of Birth

Initials - If under the age of 18, please get parents or legal gardian to sign for you.

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

I hereby acknowledge this release from liability for accidental injury or illness (including risk of covid-19) which 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. This includes following CDC guidelines of covid-19 restrictions.View terms of service

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