Fitness Liability Waiver Form
To download free Liability waiver form in PDF, please click Fitness Liability Waiver
Parent/Guardian 1 Profile Parent/Guardian 2 Profile
First Name:___________________________________________________ First Name:__________________________________________________
Last Name:___________________________________________________ Last Name:___________________________________________________
Mobile Phone: ________________________________________________ Mobile Phone: _______________________________________________
Email: _______________________________________________________ Email: ______________________________________________________
Employer:____________________________________________________ Employer:____________________________________________________
How did you hear about YES! Fitness? Is this your first visit? *YES *NO-last visit_______________
– additional youths can be listed on back
Emergency Contact:______________________________________________Relationship: _________________________________________
Phone #:__________________________________________________E_m__ail_:_________________________________________________
Physician: ________________________________________________P_h_o_n_e_ _# : ____________________________________________
prd v.10222013
OFFICE USE ONLY: _________Entered on MGTL __________Entered in MB _________Scanned _________Uploaded
Thank you for your visit. One of our Coaches will be with you momentarily.
I do not wish to receive information from YES! in the future.
YES! FITNESS ASSUMPTION OF RISK-FITNESS REPRESENTATIONS-ARBITRATION
The use of the facilities at YES! Fitness (YES!) naturally involves the risk of injury to you or your guest, whether you or someone else causes it. As such, you understand and
voluntarily accept this risk and agree that YES! Will not be liable for any injury, including, without limitation, personal, bodily or mental injury, economic loss or any
damage to you, your spouse, guests, unborn child or relatives resulting from negligence or other acts of YES! Or anyone on YES!’ behalf of anyone using the facilities. If
there is any claim by anyone based on any injury, loss or damage described here which involves you, you agree to 1) defend YES! Against such claims and pay YES! For all
expenses relating to the claim and 2) indemnify YES! For all liabilities to you, your spouse, guests, unborn child, relatives, or anyone else resulting from such claims. You
understand and acknowledge that YES does not manufacture any of the fitness or other equipment at its facilities, but purchases and/or leases equipment from third parties.
As such, you understand and acknowledge YES is providing recreation services and may not be held liable for defective products, Further, you represent that you are in good
physical condition and have no medical impairment that might prevent you from your intended use of YES. As such, you acknowledge that YES did not give you medical
advice before you joined and cannot give you any after you join, relating to your physical condition and ability to use the facilities. If you have any health or medical
concerns now or after you join, discuss them with your doctor before using the facilities. If there is any dispute between you and YES!, both parties agree to submit it to
binding arbitration under the rules of and before the American Arbitration Association and its office nearest the club you used. The dispute covers any aspect related to your
workouts or this Agreement, which includes, without limitation, financial obligations, facilities, representations, proper-ty damage, and injuries. Arbitration mean that
neither you nor YES can sue each other in court over such disputes. You both agree to have a neutral arbitrator decide it, not a jury or judge.
2 Signature:________________________________________________________ Date:____________________
Today’s Date:_____________ Time of Arrival:__________ am / pm
1 Signature:________________________________________________________ Date:____________________
Walk-In Appointment with_______________________________ Toured by:____________________________
Guest Registration Waiver
Sports or Activities: _____________________________________________________________________________________________________________
Sports or Activities: _____________________________________________________________________________________________________________
Sports or Activities: _____________________________________________________________________________________________________________
1st Youth’s Name: _______________________________________________________________________Date of Birth:____________________________
2nd Youth’s Name: _______________________________________________________________________Date of Birth:____________________________
3rd Youth’s Name: _______________________________________________________________________Date of Birth:____________________________