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Body Interiors / Texas Fit Body Bootcamp- Event Registration
Please Fill out the following:
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Event (Date/Time):
Bootcamp: Workout with the Losers - Fri Feb. 19th 5:30am
Bootcamp: South Austin FBBC location: Soccer Zone - South 6:00-6:50am
Bootcamp: Kyle FBBC location: Plum Creek Golf Course Pavilion 5:30-6:20am
Bootcamp: Kyle FBBC location: Fuentes Elementary Gym 6:30-7:20pm
Registration Type:
Bootcamp: Workout with the Losers - Fri Feb. 19th 5:30am
Bootcamp: Free week trial
Bootcamp: Utilize Gift Card
Nutritour: Single Session
AbClinic: Single Session
Workshop: Single Session
CERTIFICATION AND RELEASE OF LIABILITY
I, the undersigned, certify that I am 18 years old or above, or the legal guardian of any child under the age of 18 years old participating in either a Nutritour Grocery Trip, Ab Clinic, or other Body Interiors Special Event. I understand that falsification of any information on this form may disqualify me or my child from this program. In consideration of the acceptance of my or my child's registration in Nutritour Grocery Trip, Ab Clinic, or other Body Interiors Special Event, I hereby release Marisa Wandeler, Stephanie Pool, Wandeler Wellness Services, Inc., or Body Interiors, HEB, Hays Community YMCA, and their agents, employees, officers, and servants from any and all damages and injuries which may occur while I or my child is enrolled in any Body Interiors Special Event, Nutritour, or Ab Clinic. I certify that I have the legal authority to execrate this release on behalf of myself or my child. I also, certify that I have received and read this registration form completely. I acknowledge that I am in good physical condition and that I will not engage in any activities that may aggravate any present or future physical impairment that I have. WANDELER WELLNESS SERVICES, INC., MARISA WANDELER, STEPHANIE POOL, AND BODY INTERIORS strongly recommends that participants take a physical examination before signing. *If you have any physical restrictions, your physician MUST approve your activity. This form must be accompanied by a letter from your physician approving your activity. I understand that WANDELER WELLNESS SERVICES, INC., MARISA WANDELER,STEPHANIE POOL or program staff have the authority to remove participants from the program without refund for any reason. WANDELER WELLNESS SERVICES, INC. uses photographs to promote the program. WANDELER WELLNESS SERVICES, INC. or it's program staff will not use photographs of you without your permission. I acknowledge that I have given my authorization for myself or my child to receive medical attention in case of injury or an emergency. I acknowledge the release on equipment that is provided or used for education or assessment by WANDELER WELLNESS SERVICES, INC., BODY INTERIORS, and/or the Fitness Instructors, Personal Fitness Trainers, or Fitness Volunteers. I understand I may bring my own assessment or educational equipment at my own risk. I understand that the workshops are subject to change without notice, but every effort will be expended to schedule a different facility or give you, the participant, ample notification of the change or cancellation of a workshop. I understand that event registration fees will be paid up front, and that there are no refunds or transfers once an event has begun.
I have read and agree to the terms of this liability release.