Tiger ATX Waiver
Mandatory release form for individuals visiting Tiger ATX training facilities
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Your Name *
Your Trainer's Name *
Phone *
Email Address *
Emergency Contact Name
Emergency Contact Number
Parent/Guardian Signature (if not +18)
By checking the box below, I acknowledge that I have voluntarily chosen to participate in physical exercise and/or a program of progressive physical exercise and diet. I also acknowledge that I have been informed of the need to obtain a physician's examination and approval prior to beginning this fitness program. In signing this document, I acknowledge being informed of the strenuous nature of the program and the potential for unusual, but possible, physiological results including but not limited to abnormal blood pressure, fainting, heart attack or even death. I understand that results may vary and there are no refunds. I also understand that I may stop any training at anytime. By signing this document, I assume all risk for my health and well being and any resultant injury or mishap that may affect my well being or health in any way and hold harmless of any responsibility, the instructor, facility or persons involved with this program. I assume all risk of damage or loss to my property on my person, in my vehicle in the parking lot, or while on Tiger ATX property. *
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