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Health Waiver
To register to our gym please fill out the following medical form
First name
Email Address
Last name
Date of Birth
Do you have a doctor’s permit to participate in intense physical activities?
*
No
Yes
Have you lost your consciousness in the last past 12 months?
*
No
Yes
Initials
Today's Date
I declare that the info I’ve provided is accurate & complete
Submit
Thanks for submitting!
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