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ROCC Fitness Liability Waiver
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Last Name
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Do you have a doctor’s permit to participate in intense physical activities?
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Yes
Please specify anything we should know about
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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ROCC Fitness Quick Burn Boot Camp Sign Up
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Admission fee for this course is $10
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