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Balanced FITTness Register

Welcome! Please Select What You Would Like To Register For!

Registration deadline is August 12th, 2019


Group Classes
Your Information

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A value is required.*

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Province:
*

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Birthdate:
M *    D *    Y *

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If under 18 - Name of Parent(s)/Legal Guardian(s):  

PAYMENT INFORMATION

Payment will be accepted by either cash or cheque. Please post-date cheques for August 12th, 2019. (Cheques are payable to Pamela Elliott). No refunds after the 1st class unless there is a medical issue; this must be documented by a doctor's note.

Please note that all cheques must be received at least 2 days prior to your session and a service charge of $35.00 will be applied to all NSF cheques.

Payment can be dropped off in my mailbox OR you can mail it to:

Pamela Elliott
50 Buttercup Crescent
Moose Jaw, SK
S6J 1A4

Term/Conditions

NOTICE:
Any sport or fitness class can be a physically demanding activity. It is vitally important that you are in a physical condition that will allow you to participate without presenting a danger to yourself or others. If you have any concerns that a health condition, injury or previous lack of physical activity may put you at risk of personal injury or discomfort, please advise your fitness instructor. Before participating in this or any exercise program, individuals should consult a physician. Individuals under eighteen (18) years of age must have the written consent/permission of their parent(s) or legal guardian(s). This waiver is valid for one year from the date signed. Balanced FITTness and its fitness instructors must be notified of any change in physical condition within that year.

VOLUNTARY PARTICIPATION:
I, the undersigned, acknowledge that I have voluntarily chosen and requested to participate in the fitness class sponsored by Pamela Elliott and her affiliates.

ACKNOWLEDGEMENT:
I am aware that participation in any sport or fitness class may result in accident or injury, and I assume the risk connected with the participation in a sport, or fitness class, or in activities related to the instruction of fitness classes and I represent that I am in good health and suffer from no physical impairment which would limit my participation in the fitness class. I acknowledge that Pamela Elliott or her affiliates has not and will not render any medical services, including medical diagnosis of my condition.

RELEASE:
In consideration for being permitted to participate in the fitness class, I agree that I, my heirs, assignees, guardians, and legal representatives will not make any claim against, sue, or attach the property of, any of the hosts, teachers, organizers, or participants in the fitness class, including but not limited to Pamela Elliott, her assistants and agents for injury or damage resulting from my participation in such fitness class. I release all such hosts, teachers, organizers and participants, their agents and heirs, from any and all actions, causes of action, lawsuits, claims or demands that I, my assignees, heirs, guardians, and legal representatives now have or hereafter may have for any and all injury, illness, death, loss of or damage to property associated with my participation in the fitness class.



I have carefully read this agreement and fully understand its contents. I have signed this release freely and voluntarily. I am aware and agree that it is a complete release of liability for any injuries or damages I may sustain due to my participation in fitness classes with Pamela Elliott and her affiliates. If the fitness class participant is under the age of 18 years, the parent(s) or legal guardian(s) must sign below.

Dated at Moose Jaw, Saskatchewan, this  22nd  day of October,   2019.

** Please list ALL past or present injuries, physical limitations and any pertinent illnesses.

 


Verification

  


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