College Night with Core Change
We want to party with you on the Megaformer! For just $5, come take a class at Knoxville's only Lagree studio! Get a taste of this rockstar workout, an afterburn treat, and access to a killer student deal!
Sign in to Google to save your progress. Learn more
First and Last Name *
Phone (xxx-xxx-xxxx) *
Email *
Wednesday , February 2nd. Pick your class time: *
Required
Credit Card Number AND expiration ($5) *
Please type your name below to sign our Liability Waiver:                            In exchange for permission to participate in Core Change classes and/or private sessions, I hereby enter into the following release and waiver of liability, assumption of risk and indemnity agreement and photo release. I, for myself, my heirs, spouse, executors, administrators, personal representatives and assignees, waive, release, discharge, defend, indemnify, hold harmless and agree not to sue Core Change, its owner, employees, contractors, managers, members, agents, landlords, representatives, volunteers, and affiliates (hereafter the “Released Parties”) from, any and all liability, responsibility, damages, losses, claims, demands, actions, suits, judgments, costs and expenses (including attorneys’ fees) resulting from personal injury, accidents, illnesses, death and/or property loss caused in any manner, including theft, fire and the simple, active or passive negligence of the Released Parties, by my participation in Core Change studio classes. I hereby understand that I am advised to move comfortably through the exercises and to work at my individual level of difficulty.I acknowledge I have been advised to consult with my physician with respect to any past, present or future injury, illness, cardiovascular problem, knee problem, back problem, neck problem, osteoporosis, or any other condition that may affect my participation and ability to participate in and to endure the exercise programs, and knowingly assume all risks relating to my participation at Core Change.I acknowledge that I have discussed with my physician the appropriateness of the classes offered by Core Change in connection with any illness or condition that I now have or have previously had and that I knowingly execute this agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.I have read this agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. This agreement is intended to be as broad and inclusive as permitted by law. If any portion of this agreement is held invalid, the remaining portions will continue in full force and effect.This agreement shall be construed and interpreted in accordance with the laws of Tennessee, without giving effect to its choice of law rules. This agreement shall be binding upon and inure to the benefit of the parties hereto, their respective heirs, successors and assigns. This agreement constitutes the entire agreement between the parties hereto and there are no representations, warranties, covenants or obligations except as set forth in this agreement. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sync Communications. Report Abuse