WELCOME TO THE 12-HOUR TREAD-A-THON
Before you begin, please complete the form below:
First Name
*
Last Name
*
Phone
*
Email
*
Do you have any pre-existing health conditions that may impact your participation in this event?
*
Yes
No
If yes. Please provide more information about your pre existing health conditions.
Do you have any pre existing or current injuries that may affect your participation in this event?
*
Yes
No
If yes. Please provide more information about your pre existing or current injuries
If applicable, are you clear to exercise from your injuries or from returning to exercise post-partum?
*
Yes
No
N/A
I agree to the terms and conditions of The Gym Tumut. By participating in the workouts, I hereby assume the risks of any injuries that I may sustain on the premises. I hereby remise, release and forever discharge your facility from any liability, responsibility or actions suits, damages claims or judgements that may results from any personal injury or even death I may sustain while on the premise, as a result of my participation.
*
I Agree
Guardian Name (If participants under age of 18)
Signature Panel
*
Clear
Submit
WELCOME TO THE 12-HOUR TREAD-A-THON
Before you begin, please complete the form below
First Name
*
Last Name
*
Phone
*
Email
*
Do you have any pre-existing health conditions that may impact your participation in this event?
*
Yes
No
If yes. Please provide more information about your pre existing health conditions.
Do you have any pre existing or current injuries that may affect your participation in this event?
*
Yes
No
If yes. Please provide more information about your pre existing or current injuries
If applicable, are you clear to exercise from your injuries or from returning to exercise post-partum?
*
Yes
No
N/A
I agree to the terms and conditions of The Gym Tumut. By participating in the workouts, I hereby assume the risks of any injuries that I may sustain on the premises. I hereby remise, release and forever discharge your facility from any liability, responsibility or actions suits, damages claims or judgements that may results from any personal injury or even death I may sustain while on the premise, as a result of my participation.
*
I Agree
Guardian Name (If participants under age of 18)
Signature Panel
*
Clear
Submit