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Waiver Form

In consideration for my participation in personal training with Kickbox & Weight training by Mel, I the client, acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve the business and personal trainer from any liability resulting from personal injury. I also hereby state that the client named below is physically fit to participate in prescribed courses of instruction and do so of my own free will. I understand that there is a NO refund policy with Kickbox & Weight Training by Mel.

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I am 18 years of age or older
yes
no

If no, I have parental/legal guardian consent

Legal guardian consent signature

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