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Kettlebell Classes
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BECOME A MEMBER
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BECOME A MEMBER
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BECOME A MEMBER
Kettlebell Club Waiver
Name
Today's Date
Address
City
Postal Code
Telephone (Best number(s) to reach you at):
Home
Cell
OK to text last-minute schedule changes to cell number?
Email Address
Please add me to your mailing list to receive Kettlebell Club schedule changes, news, and nutrition information.
Date of Birth (YYYY-MM-DD)
Emergency Contact Name
Emergency Contact Phone Number
Referred by
GOALS: What would you like to accomplish? (Check all that apply.)
Weight Loss
Increase Energy
Toning
Endurance
Increase Lean Muscle
Increase Strength
Increase Bone Density
Improve Balance
Improve Posture
Relieve Stress
Improve Eating Habits
Improve Overall Health
Other
I am in good health and suffer from no physical impairment, which would limit my participation in kettlebell training or a physical exercise program. I agree to disclose any physical limitations, disabilities, ailments or impairments that may arise at any time and affect my ability to participate in kettlebell training or a physical exercise program. I am aware that participation in kettlebell training and physical exercise may result in accident or injury, and I assume the risk connected with participation in kettlebell training and physical exercise.
Having such knowledge, I hereby release The Kettlebell Club, its teachers, agents and successors from liability for any claim, demand or cause of action of any kind whatsoever for, or on account of, death, personal injury or illness, which may occur as a result of participating in kettlebell training and a physical exercise program.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
acknowledge
I understand & acknowledge
Submit Form
About
Awards
Reviews
Monthly Highlights
Blog
Contact
About
Awards
Reviews
Monthly Highlights
Blog
Contact
Kettlebell Classes
Nutrition Coaching
Member Login
BECOME A MEMBER
Kettlebell Classes
Nutrition Coaching
Member Login
BECOME A MEMBER