WYFH / PTP Wednesday Sessions
Thank you for registering for the WYFH / PTP Wednesday Session of strength and agility training. This course will meet at PTP (3 Godfrey Place, Wilton) from 4~5 PM on the following dates:
January 4, 11, 18, 25,
February 1, 8, 15
March 1, 8, 15
Classes are limited to the first 8 people to complete registration. Registration is not complete until this registration form and payment in full are both completed. Cost for all sessions is $225, Payment can be submitted through Venmo to @peter-zaffina 

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Please complete the following information about the child you are registering for this program.
Player Name (first and last) *
Player Grade *
Please list any major injuries or exercise limitations.
Please complete the following Parent Information
Parent Name *
Parent Email *
Parent Cell Phone *
Please complete the following Emergency Contact Information
Emergency Contact Name *
Emergency Contact Cell Phone *
Please accept the following PTP Waiver in order to particpate in the program.

Personal Training Professionals of Wilton

3 Godfrey Place

Wilton, CT 06897

CONSENT

I am voluntarily participating in the personal training program which has been explained to me. I am aware of my own current level of health and physical condition. I am also aware that participating in any exercise has inherent risk. I agree I will contact my physician if I need any medical attention.

I understand by signing this contract I have voluntarily chosen to participate in a program of progressive physical exercise. In signing this contract, 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, stroke, or death. By signing this contract, I assume all risk for my health and well-being and hold harmless of any responsibility the trainer, Personal Training Professionals, LLC or any person involved with this program and testing procedures.

FOR PARENTS/GUARDIANS OF PARTICIPANT(S) OF MINOR AGE

(Under 18 at time of registration)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless Personal Training Professionals and its affiliates from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, even if arising from the negligence of PTP, to the fullest extent permitted by law.

 *
Note: registration is not complete until payment in full is made. To pay for this program, Venmo $225 to @peter-zaffina 
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