Liftalates Sign Up
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
I understand and acknowledge that participation in physical fitness activities involves inherent risks, including but not limited to: Muscle strains, sprains, and tears, Joint injuries, Broken bones, Dizziness or fainting, Heat exhaustion or dehydration, Cardiac events, Permanent disability or death. I voluntarily assume all risks associated with participation in these Classes, whether known or unknown, foreseen or unforeseen.
I understand
I affirm that:I am in good physical conditionI have no medical condition that would prevent me from safely participatingI take full responsibility for monitoring my physical condition during all ClassesI agree to immediately stop exercising and notify the Trainer if I experience pain, dizziness, shortness of breath, or any other concerning symptoms.
I agree
I understand that photos and/or videos may be taken during classes and may be used for marketing, promotional, or educational purposes by the trainers.
I Understand
This Agreement shall be governed by and construed in accordance with the laws of the State of Florida
I understand
Are you filling this form out on behalf of a minor
Yes
No
Minor Name & Age (Must be 16 years or older)
Select Your Liftalates Class Date
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Liftalates Class Payment
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Zues's Member
$10.00
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10.00
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Zues's Guest
$15.00
$
15.00
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Payment Methods
Credit Card
Apple Pay
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Signature
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