IFG Registration & Waiver

Count Me In ~ IFG!

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Birthday *

I have been referred by: *

Primary Goals *

By selecting "I agree." below, I acknowledge that I have voluntarily chosen to participate in this program of progressive physical exercise, which can enhance the musculoskeletal and cardiorespiratory systems. By agreeing below, I acknowledge being informed of the possible strenuous nature of the program, and the potential for unusual, but possible, physiological results including, but not limited to, abnormal blood pressure, fainting, heart attack or death. By agreeing below, I assume all risk for my health and wellbeing, and hold harmless of any responsibility, the instructor, facility or any persons involved with the program or testing procedures. I understand that questions about exercise procedures and recommendations are encouraged and welcomed. Discussions held, however, do not replace appropriate medical assessment and care. *

I agree.

You will be provided with payment information once your registration has been confirmed.

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